Trial reportPsychology and aging2014
The cost of social punishment and high-lethality suicide attempts in the second half of life.
Trial report in Psychology and aging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 38 citations in OpenAlex.
- Responses to social defeat in early- vs late-onset suicidal behavior: An experimental behavioral study.Comprehensive psychiatry · 2026Article
- Improving social reward responsivity and social connectedness in psychotherapies for late-life depression: Engage & Connect as an example.Psychiatry research · 2023Article
- Neural responses to social decision-making in suicide attempters with mental disorders.BMC psychiatry · 2023Article
- A Computational Model of Hopelessness and Active-Escape Bias in Suicidality.Computational psychiatry (Cambridge, Mass.) · 2022Article
- Predictors of serious suicidal behavior in late-life depression.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2020Article
- Behavioral empathy failures and suicidal behavior.Behaviour research and therapy · 2019Article
- Value-Based Choice, Contingency Learning, and Suicidal Behavior in Mid- and Late-Life Depression.Biological psychiatry · 2019Article
- Social cognition and short-term prediction of suicidal ideation in schizophrenia.Psychiatry research · 2018Article
- Neuroimaging-informed phenotypes of suicidal behavior: a family history of suicide and the use of a violent suicidal means.Translational psychiatry · 2018Article
- Serious Suicide Attempts: Systematic Review of Psychological Risk Factors.Frontiers in psychiatry · 2018Article
- The decision neuroscience perspective on suicidal behavior: evidence and hypotheses.Current opinion in psychiatry · 2017Review
- Insomnia is associated with suicide attempt in middle-aged and older adults with depression.International psychogeriatrics · 2016Article
- Decision-making competence and attempted suicide.The Journal of clinical psychiatry · 2015Article
- Impulsive traits and unplanned suicide attempts predict exaggerated prefrontal response to angry faces in the elderly.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2015Article
- Suicide in older adults: the role of emotions and cognition.Current psychiatry reports · 2014Review
- The pathophysiology of high-lethality suicide attempts: a vital area of suicide research.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
Age-related cognitive changes may contribute to impairments in making complex social decisions. Interpersonal conflict is a key factor behind suicidal behavior in old age, with suicidal motivations ranging from escape to revenge. Such conflicts may prove catastrophic for people prone to suicide, in part because of their tendency to make disadvantageous decisions. Yet, little is known about social decision making in older suicidal individuals. We assessed economic bargaining behavior using the Ultimatum Game, where players decide whether to accept or punish (reject) unfair monetary offers from another player. Our sample included depressed older adults with a history of high-medical-lethality suicide attempts, low-medical-lethality suicide attempts, nonsuicidal depressed older adults, and those with no psychiatric history who served as control groups. Participants in all groups punished their counterparts in response to unfair offers. However, low-lethality attempters, nonsuicidal depressed, and nonpsychiatric controls punished less as the cost of punishment increased, accepting more unfair offers as the stakes grew large. High-lethality attempters did not adjust their choices based on stake magnitude, punishing unfair offers without regard to the cost. Two thirds of the difference between the high-lethality attempters and nonpsychiatric controls was explained by individual differences in fairness judgments: the comparison group judged offer fairness as a joint function of inequality and magnitude, whereas the high-lethality attempter participants judged offer fairness on the basis of inequality. In real life, high-lethality attempters' relative insensitivity to the cost of retaliation may lead to uncompromising, catastrophic responses to conflict.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.