Improvements in Executive Attention, Rumination, Cognitive Reactivity, and Mindfulness Among High–Suicide Risk Patients Participating in Adjunct Mindfulness-Based Cognitive Therapy: Preliminary Findings

Chesin, Megan; Benjamin-Phillips, Christopher; Keilp, John G.; Fertuck, Eric A.; Brodsky, Beth S.; Stanley, Bárbara

doi:10.1089/acm.2015.0351

Cited by 61 publications

(27 citation statements)

References 47 publications

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“…There is some evidence that the mitigation of certain cognitive processes is important for reducing the psychopathology associated with SI. One study found that high‐risk suicidal individuals showed improvements in executive attention and mindfulness and decreases in rumination and cognitive reactivity after receiving a short, mindfulness‐based cognitive therapy (Chesin et al, ). In addition, mindfulness has been shown to be positively correlated with attention and concentration (e.g., Jha, Krompinger, & Baime, ) and has been shown to be related to decreases in attentional biases (e.g., Garland, Boettiger, Gaylord, Chanon, & Howard, ).…”

Section: Discussionmentioning

confidence: 99%

Suicide‐Specific Cognitions, Attentional Fixation, and Worst‐Point Suicidal Ideation

Moscardini

Aboussouan

Bryan

et al. 2020

Suicide & Life Threat Behav

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Objective The fluid vulnerability theory of suicide posits that each person has a baseline risk for suicide, which is comprised of both stable and dynamic factors. The current study investigated the unique involvement of suicide‐specific cognitions and attentional fixation on recent suicidal ideation (SI) and SI at its worst. Method Data were analyzed from a sample of N = 126 undergraduate students with a history of SI. Path analyses were used to analyze the relationship between suicide‐specific cognitions, attentional fixation, and SI (current and worst point). Results Results revealed that suicide‐specific cognitions were directly related to both recent SI and worst‐point SI. Suicide‐specific cognitions had a significant, indirect effect with worst‐point SI through attentional fixation, but this effect was not significant when using recent SI. Conclusion These data support the need for interventions to target cognitive contents and contexts (e.g., fixation) to reduce escalation of SI. Future work would benefit from replicating and extending results in studies that include prospective designs and the assessment of suicidal behaviors.

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Section: Discussionmentioning

confidence: 99%

Suicide‐Specific Cognitions, Attentional Fixation, and Worst‐Point Suicidal Ideation

Moscardini

Aboussouan

Bryan

et al. 2020

Suicide & Life Threat Behav

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“…Executive function at baseline has been found to predict response to treatment for depression (Dawson et al., ). Mindfulness based cognitive therapy combined with safety planning delivered over 9 weeks improved cognitive functioning in a suicidal depressed sample, but was not associated with a decrease in suicidal ideation (Chesin et al., ). The assessment of neurocognitive correlates associated with depression may provide an avenue for future research to guide the development of interventions (Sommerfeldt et al., ).…”

Section: Discussionmentioning

confidence: 99%

Childhood maltreatment, neuropsychological function and suicidal behavior

Zelazny

Melhem

Porta

et al. 2019

Child Psychology Psychiatry

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Background Suicide is the second leading cause of death in young people. Childhood maltreatment, neuropsychological dysfunction and psychopathology have each been shown to increase risk for suicidal behavior. However, few studies have examined their interactions and the effects of those interactions on suicidal behavior. Methods Across two sites, a total of 382 offspring of depressed parents underwent neuropsychological assessments. This high‐risk sample included nearly equal numbers of males and females. Average age at the time of neuropsychological assessment was 18.5 years. The most prevalent lifetime psychiatric disorders were mood (43%), anxiety (37%) and alcohol and substance use disorders (21%). Childhood maltreatment was reported by 44% of offspring. Participants underwent extensive neuropsychological testing assessing the following domains: attention, memory, executive function, working memory, language fluency, and impulse control. Logistic regression was used to examine the association of reported childhood maltreatment, neuropsychological functioning, psychopathology and their interactions with suicidal behavior. Bonferroni correction was used to adjust for multiple comparisons. Results Maltreatment was associated with increased risk of suicidal behavior with odds ratios ranging between 2.40 and 4.43. Moderation analyses found that adaptive neuropsychological functioning was not protective against childhood maltreatment's effect on suicidal risk. While lifetime history of mood disorder was strongly associated with suicidal behavior, higher scores in working memory (OR = 0.21; 95% CI = 0.09, 0.45; p < .001) and executive function (OR = 0.15; 95% CI = 0.05, 0.43; p < .001) were protective against suicidal behavior even in the presence of a lifetime history of mood disorder. Conclusions Further research is needed to determine how neuropsychological capacity protects depressed patients against the risk of suicidal behavior.

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“…This contributes to decrease experiential avoidance from unpleasant psychological events (as they are simply considered as harmless attentional objects), contributing to decrease suicidal thoughts and acts . Interestingly, it has been shown that training in mindfulness weakens the association between depressive symptoms and suicidal ideation in depressed patients , through decrease in cognitive reactivity and ruminations . Besides, trait mindfulness has been negatively correlated to lability of negative affects, independently of depression and mediated by lower maladaptive coping.…”

Section: Discussionmentioning

confidence: 99%

Affect lability predicts occurrence of suicidal ideation in bipolar patients: a two‐year prospective study

Ducasse

Jaussent

Guillaume

et al. 2017

Acta Psychiatr Scand

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Improvements in Executive Attention, Rumination, Cognitive Reactivity, and Mindfulness Among High–Suicide Risk Patients Participating in Adjunct Mindfulness-Based Cognitive Therapy: Preliminary Findings

Cited by 61 publications

References 47 publications

Suicide‐Specific Cognitions, Attentional Fixation, and Worst‐Point Suicidal Ideation

Suicide‐Specific Cognitions, Attentional Fixation, and Worst‐Point Suicidal Ideation

Childhood maltreatment, neuropsychological function and suicidal behavior

Affect lability predicts occurrence of suicidal ideation in bipolar patients: a two‐year prospective study

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