ArticleThe Journal of clinical psychiatry2015
Decision-making competence and attempted suicide.
Article in The Journal of clinical psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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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
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.
- The association between white matter hyperintensities and suicide attempts in affective disorders: a systematic review and meta-analysis.Translational psychiatry · 2025Pooled it
- Brooding, reflection, and anger rumination in late life suicidal behavior.Journal of affective disorders · 2025Article
- Childhood trauma is associated with early-onset but not late-onset suicidal behavior in late-life depression.International psychogeriatrics · 2024Article
- Deciding on life-saving treatment after a violent suicide attempt: an ethical case report.General psychiatry · 2024Article
- Externalising Behaviours, Impulsivity, Alexithymia, and Emotional Dysregulation in Adolescents' Suicidality.Clinical neuropsychiatry · 2023Article
- Emotions as computations.Neuroscience and biobehavioral reviews · 2023Review
- Multimodal Elements of Suicidality Reduction After Transcranial Magnetic Stimulation.Neuromodulation : journal of the International Neuromodulation Society · 2021Article
- Translating Interventional Neuroscience to Suicide: It's About Time.Biological psychiatry · 2021Review
- A lifetime of challenges: real-life decision outcomes in early- and late-onset suicide attempters.Journal of affective disorders reports · 2021Article
- Predictors of serious suicidal behavior in late-life depression.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2020Article
- Personality of late- and early-onset elderly suicide attempters.International journal of geriatric psychiatry · 2020Article
- Status, rivalry and admiration-seeking in narcissism and depression: A behavioral study.PloS one · 2020Article
- Advance decisions to refuse treatment and suicidal behaviour in emergency care: 'it's very much a step into the unknown'.BJPsych open · 2019Article
- 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
- Robustness of Decision-Making Competence: Evidence from two measures and an 11-year longitudinal study.Journal of behavioral decision making · 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
- Completed suicide in an autopsy-confirmed case of early onset Alzheimer's disease.Neurodegenerative disease management · 2018Article
- Serious Suicide Attempts: Systematic Review of Psychological Risk Factors.Frontiers in psychiatry · 2018Article
- Decision-Making in Suicidal Behavior: The Protective Role of Loss Aversion.Frontiers in psychiatry · 2018Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
objectiveThe propensity of people vulnerable to suicide to make poor life decisions is increasingly well documented. Do they display an extreme degree of decision biases? The present study used a behavioral-decision approach to examine the susceptibility of low-lethality and high-lethality suicide attempters to common decision biases that may ultimately obscure alternative solutions and deterrents to suicide in a crisis.
methodWe assessed older and middle-aged (42-97 years) individuals who made high-lethality (medically serious) (n = 31) and low-lethality suicide attempts (n = 29). Comparison groups included suicide ideators (n = 30), nonsuicidal depressed participants (n = 53), and psychiatrically healthy participants (n = 28). Attempters, ideators, and nonsuicidal depressed participants had nonpsychotic major depression (DSM-IV criteria). Decision biases included sunk cost (inability to abort an action for which costs are irrecoverable), framing (responding to superficial features of how a problem is presented), underconfidence/overconfidence (appropriateness of confidence in knowledge), and inconsistent risk perception. Data were collected between June 2010 and February 2014.
resultsBoth high- and low-lethality attempters were more susceptible to framing effects as compared to the other groups included in this study (P ≤ .05, ηp2 = 0.06). In contrast, low-lethality attempters were more susceptible to sunk costs than both the comparison groups and high-lethality attempters (P ≤ .01, ηp2 = 0.09). These group differences remained after accounting for age, global cognitive performance, and impulsive traits. Premorbid IQ partially explained group differences in framing effects.
conclusionsSuicide attempters' failure to resist framing may reflect their inability to consider a decision from an objective standpoint in a crisis. Failure of low-lethality attempters to resist sunk cost may reflect their tendency to confuse past and future costs of their behavior, lowering their threshold for acting on suicidal thoughts.
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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.