ReviewCurrent opinion in psychiatry2017
The decision neuroscience perspective on suicidal behavior: evidence and hypotheses.
Review in Current opinion in psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 3 of them syntheses that pooled it.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.
- Self-injurious thoughts and behaviors and alterations in positive valence systems: A systematic review of the literature.Journal of psychiatric research · 2022Pooled it
- Decision-making and cognitive control in adolescent suicidal behaviors: a qualitative systematic review of the literature.European child & adolescent psychiatry · 2021Pooled it
- Management of patients with an advance decision and suicidal behaviour: a systematic review.BMJ open · 2019Pooled it
- When Losses Matter More: A Dynamic Reference-Dependent Evaluation of Suicide Risk.Risk analysis : an official publication of the Society for Risk Analysis · 2026Article
- Mood computational mechanisms underlying increased risk behavior in adolescent suicidal patients.eLife · 2026Article
- Exploring Brain Network Dynamics in Suicide Attempt Survivors Using EEG Microstate Analysis.Brain topography · 2025Article
- Classify the fNIRS signals of first-episode drug-naive MDD patients with or without suicidal ideation using machine learning.BMC psychiatry · 2025Article
- Review: Suicide and its relationship to aggression and impulsivity.Cognitive, affective & behavioral neuroscience · 2025Review
- Brain Volume Reductions and Relationship With Depression and Cognitive Functioning in Suicide in Older Adults: A Cross-Sectional and Longitudinal Study Using Bayesian Multilevel Modeling.Biological psychiatry global open science · 2025Article
- Multi-modal risk factors differentiate suicide attempters from ideators in military veterans with major depressive disorder.Journal of affective disorders · 2025Article
- Article
- Life-history strategy, adverse environment, and justification of life-ending decisions.Frontiers in psychology · 2025Article
- Antecedents, reasons for, and consequences of suicide attempts: Results from a qualitative study of 89 suicide attempts among army soldiers.Journal of psychopathology and clinical science · 2025Article
- Do people know how suicidal they will be? Understanding suicidal prospection.Suicide & life-threatening behavior · 2024Article
- Impact ofJournal of clinical medicine · 2024Review
- Negative valuation of ambiguous feedback may predict near-term risk for suicide attempt in Veterans at high risk for suicide.Frontiers in psychiatry · 2024Article
- Neural responses to decision-making in suicide attempters with youth major depressive disorder.NeuroImage. Clinical · 2024Article
- Dissociated deficits of anticipated and experienced regret in at-risk suicidal individuals.Frontiers in psychiatry · 2023Article
- Suicide risk detection using artificial intelligence: the promise of creating a benchmark dataset for research on the detection of suicide risk.Frontiers in psychiatry · 2023Article
- Suicide prevention and ketamine: insights from computational modeling.Frontiers in psychiatry · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
purpose of reviewSuicide attempts are usually regretted by people who survive them. Furthermore, addiction and gambling are over-represented among people who attempt or die by suicide, raising the question whether their decision-making is impaired. Advances in decision neuroscience have enabled us to investigate decision processes in suicidal people and to elucidate putative neural substrates of disadvantageous decision-making. RECENT
findingsEarly studies have linked attempted suicide to poor performance on gambling tasks. More recently, functional MRI augmented with a reinforcement learning computational model revealed that impaired decision-making in suicide attempters is paralleled by disrupted expected value (expected reward) signals in the ventromedial prefrontal cortex. Behavioral studies have linked increased delay discounting to low-lethality/poorly planned attempts, multiple attempts, and the co-occurrence of attempted suicide and addiction. This behavioral tendency may be related to altered integrity of the basal ganglia. By contrast, well-planned, serious suicide attempts were associated with intact/diminished delay discounting. One study has linked high-lethality suicide attempts and impaired social decision-making. SUMMARY: This emerging literature supports the notion that various impairments in decision-making - often broadly related to impulsivity - may mark different pathways to suicide. We propose that aggressive and self-destructive responses to social stressors in people prone to suicide result from a predominance of automatic, Pavlovian processes over goal-directed computations.
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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.