Relationship between suicide attempt and cognitive functions, hopelessness, insight in schizophrenia

Öztürk, Hayriye Mihrimah; Yüksel, Nevzat

doi:10.5455/apd.277922

Cited by 4 publications

(5 citation statements)

References 19 publications

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“…Our finding that verbal learning is associated with increased suicide risk is consistent with the broader literature showing that better cognition is associated with suicide among individuals with psychosis (Delaney et al, 2012; Fang et al, 2019; Kim et al, 2003; Kocatürk et al, 2015; Nangle et al, 2006; Öztürk et al, 2017; Verma et al, 2016; Villa et al, 2018). Importantly, however, our findings were limited in scope, as we found that verbal learning was the only cognitive domain associated with suicide risk in our sample.…”

Section: Discussionsupporting

confidence: 91%

“…Several studies have suggested that executive functioning might play an important role in suicide (Bredemeier & Miller, 2015; Richard-Devantoy et al, 2014). Although numerous psychosis studies have included measures of executive functioning (Barrett et al, 2011; Chang et al, 2014; Kim et al, 2003; Öztürk et al, 2017; Verma et al, 2016), they have all been cross-sectional and longitudinal research is needed to understand the direction and causal nature of this relationship. Finally, our sample included individuals with both schizophrenia spectrum disorders and mood disorders with psychotic features.…”

Section: Discussionmentioning

confidence: 99%

“…Given the well-established finding that individuals with psychosis exhibit cognitive impairments (Gold & Harvey, 1993; Green, 1997; Nuechterlein et al, 2014), it is not surprising that researchers have also examined the relationship between cognition and suicide risk in this population. Overall, studies have found that better cognition is associated with increased suicide risk among individuals with psychosis (Delaney et al, 2012; Fang et al, 2019; Kim et al, 2003; Kocatürk et al, 2015; Nangle et al, 2006; Öztürk et al, 2017; Verma et al, 2016; Villa et al, 2018), though a few studies have not supported this finding (Barrett et al, 2011; Chang et al, 2014; Potkin et al, 2003). Despite variation regarding which cognitive domains have the strongest relationship with suicide risk, the general pattern remains the same: greater cognitive ability is associated with increased risk for suicide among individuals with psychosis.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Cognition and suicide risk among individuals with first-episode psychosis: A 6-month follow-up.

Wastler¹,

Moe²,

Pine³

et al. 2022

Psychiatric Rehabilitation Journal

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Objective: There is emerging evidence that greater cognition is associated with increased risk for suicide among individuals with psychosis. Given this association, concerns have been raised that cognitive interventions might actually increase risk for suicide in this population. Therefore, the present study investigated the cross-sectional and longitudinal relationship between cognition and suicide risk among individuals with first-episode psychosis. Method: Sixty-five participants completed measures of suicide risk, depression, and cognition at baseline and 6 months. Within-subject mediation analysis was used to examine the indirect effect of cognition on suicide risk. Within-subject moderation analysis was used to examine whether participation in cognitive enhancing intervention (e.g., computerized drill-and-practice cognitive remediation and metacognitive remediation therapy) moderated changes in suicide risk. Results: Consistent with prior studies, our cross-sectional results suggest that greater cognition is associated with increased risk for suicide. However, this effect was limited in scope, as we found that verbal learning was the only cognitive domain associated with suicide risk in our sample. Results from our longitudinal analyses show that changes in depressive symptoms, but not changes verbal learning, mediate changes in suicide risk during the first 6 months of treatment. In addition, participation in cognitive enhancing interventions did not moderate changes in suicide risk. Conclusions and Implications for Practice: Our results suggest that cognition is a correlate, or a proxy risk factor, rather than a causal risk factor for suicide. Although these findings contradict previously raised concerns that cognitive interventions might unintentionally increase risk for suicide, ongoing assessment is warranted and additional research is needed. Impact and ImplicationsThe present study showed that better verbal learning was associated with suicide risk at baseline, though changes in verbal learning did not lead to changes in suicide risk during the first 6 months of treatment. In addition, treatments that improve cognition did not increase suicide risk. These findings indicate that cognition does not have a causal impact on suicide risk. These findings also alleviate previously raised concerns that cognitive enhancing treatments might inadvertently increase suicide risk. Overall, our findings support the continued use of cognitive enhancing interventions to assist patients in reaching their personal recovery goals.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Cognition and suicide risk among individuals with first-episode psychosis: A 6-month follow-up.

Wastler¹,

Moe²,

Pine³

et al. 2022

Psychiatric Rehabilitation Journal

View full text Add to dashboard Cite

show abstract

“…In the literature, the most common emergencies in psychiatry clinics included violent aggressive behaviors toward the self or others, suicide attempts, and behaviors specific to acute exacerbation episodes. 17,18 In the study conducted by Darçın et al 19 it was shown that aggressive and violent behavior directed toward the treatment team were the factors requiring urgent interventions in a psychiatry clinic.…”

Section: Emergency Psychiatric Conditions Themementioning

confidence: 99%

The experiences of Turkish psychiatric nurses with psychiatric emergencies in the clinics of Turkey's mental health and diseases hospital: A descriptive qualitative study

Kargin

Aydın

2021

Perspect Psychiatric Care

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Purpose: The aim of this study was to describe the experiences of Turkish nurses in the psychiatry clinics of Turkey's Mental Health and Diseases Hospital Design and Methods: This descriptive qualitative study was conducted on 20 psychiatric nurses working at a psychiatric hospital. A semi-structured in-person interview technique was used for data collection.Results: Six themes were defined in this study. The majority of psychiatric nurses stated that they usually faced suicidal and aggressive cases and that they used security measures, restraint and isolation, medical treatment, and emergency codes as basic interventions.

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“…The concept of hope is of importance, in particular, for the suicide risk. Decreased hope imposes the likelihood of severe consequences in individuals suffering loneliness (Öztürk et al, 2018). Loneliness is widely experienced by individuals with schizophrenia because of social dysfunction, reduced social network, and impaired social skills (Fulford et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

The effect of insight, loneliness, and hope levels on medication adherence in patients with schizophrenia

Öz

Ayhan

Taktak

2022

Perspect Psychiatric Care

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Relationship between suicide attempt and cognitive functions, hopelessness, insight in schizophrenia

Cited by 4 publications

References 19 publications

Cognition and suicide risk among individuals with first-episode psychosis: A 6-month follow-up.

Cognition and suicide risk among individuals with first-episode psychosis: A 6-month follow-up.

The experiences of Turkish psychiatric nurses with psychiatric emergencies in the clinics of Turkey's mental health and diseases hospital: A descriptive qualitative study

The effect of insight, loneliness, and hope levels on medication adherence in patients with schizophrenia

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