ArticleInternational journal of geriatric psychiatry2016
Course of cognitive impairment following attempted suicide in older adults.
Article in International journal of geriatric psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Attempted suicide short intervention program for older adults 65+ (ASSIP-OA): a study protocol for a multicentre randomised controlled trial.BMC psychiatry · 2025Article
- Entrapment and social problem-solving in suicidal behavior across the adult lifespan.Journal of affective disorders · 2023Article
- Externalising Behaviours, Impulsivity, Alexithymia, and Emotional Dysregulation in Adolescents' Suicidality.Clinical neuropsychiatry · 2023Article
- Search for solutions, learning, simulation, and choice processes in suicidal behavior.Wiley interdisciplinary reviews. Cognitive science · 2022Review
- Late-Onset Suicide: A Dementia Prodrome?The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021Article
- Problem-Solving Therapy Effects on Suicidal Ideation: The Role of Reduction in Functional Disability.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021Article
- A lifetime of challenges: real-life decision outcomes in early- and late-onset suicide attempters.Journal of affective disorders reports · 2021Article
- Temperament, character and decision-making characteristics of patients with major depressive disorder following a suicide attempt.PloS one · 2021Article
- Predictors of serious suicidal behavior in late-life depression.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2020Article
- Neurocognition and the Suicidal Process.Current topics in behavioral neurosciences · 2020Article
- Value-Based Choice, Contingency Learning, and Suicidal Behavior in Mid- and Late-Life Depression.Biological psychiatry · 2019Article
- Losing the battle: Perceived status loss and contemplated or attempted suicide in older adults.International journal of geriatric psychiatry · 2018Article
- Suicidal Thoughts and Behaviors Among First-Year College Students: Results From the WMH-ICS Project.Journal of the American Academy of Child and Adolescent Psychiatry · 2018Article
- Treatment Emergent Suicidal Ideation in depressed older adults.International journal of geriatric psychiatry · 2017Article
- Cognitive Deficits: Underappreciated Contributors to Suicide.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2017Article
- Pathways to Late-Life Suicidal Behavior: Cluster Analysis and Predictive Validation of Suicidal Behavior in a Sample of Older Adults With Major Depression.The Journal of clinical psychiatryArticle
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Authors and funding
6 authors.
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Abstract
objectiveCognitive impairment has been associated with late-life suicidal behavior. Without longitudinal data it is unclear whether these are transient features of a depressive state or stable impairments. We examined longitudinally the course of cognitive impairment in older adults with depression and a history of suicide attempt.
methodsWe investigated the persistence of cognitive impairment over time in 198 depressed older adults (age >60); 91 suicide attempters, 39 depressed individuals with suicidal ideation (ideators), and 68 non-suicidal depressed adults assessed over a 2-year period at four time points. We used linear mixed effects modeling to examine group differences in trajectories of cognitive decline over 2 years, using the Mini-Mental State Examination (MMSE), Mattis Dementia Rating Scale (DRS), and Executive Interview (EXIT).
resultsOver the 2-year period, suicide attempters performed significantly worse than both suicide ideators and non-suicidal depressed older adults on the MMSE (mean difference: from ideators: -0.88, p = 0.02; from non-suicidal depressed: -1.52, p < 0.01), while on the EXIT and DRS, suicide attempters performed significantly worse than non-suicidal depressed older adults (mean difference: in EXIT: -1.75, p = 0.01; in DRS: 3.04, p < 0.01; in MMSE: 1.15, p < 0.01). Cognitive impairment in suicide attempters partly resolved, as indicated by a group × time interaction on the DRS (p = 0.039), but not the EXIT (p = 0.58) or the MMSE (p = 0.08).
conclusionsCognitive impairment in late-life suicidal behavior appears to involve both a stable and a state-related component.
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