Evidence map›Paper›PMID 32007432›Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2020

Atypical Cortical Activation During Risky Decision Making in Disruptive Behavior Disordered Youths With Histories of Suicidal Ideation.

Allyson L Dir, Christian L Allebach, Tom A Hummer, Zachary W Adams, Matthew C Aalsma, Peter R Finn, John I Nurnberger, Leslie A Hulvershorn

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Familial risk factors required to predict earlier adolescent substance use in youth with externalizing disorders.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026
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  5. Introducing the Glutamate-Amplifies-Noradrenergic-Effects (GANE) Model to the Neurocognitive Study of Emotion-Related Impulsivity.Clinical psychological science : a journal of the Association for Psychological Science · 2025
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  6. Article
  7. Review
  8. Article
  9. Profiles of HIV-Related Knowledge and Self-Regulation Factors in At-Risk Pre-Adolescents.Children's health care : journal of the Association for the Care of Children's Health · 2025
    Article
  10. Article
  11. Article
  12. Multimodal Elements of Suicidality Reduction After Transcranial Magnetic Stimulation.Neuromodulation : journal of the International Neuromodulation Society · 2021
    Article
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Allyson L DirDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana; Adolescent Behavioral Health Research Program, Indiana University School of Medicine, Indianapolis, Indiana.
Christian L AllebachDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana.
Tom A HummerDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana.
Zachary W AdamsDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana; Adolescent Behavioral Health Research Program, Indiana University School of Medicine, Indianapolis, Indiana.
Matthew C AalsmaAdolescent Behavioral Health Research Program, Indiana University School of Medicine, Indianapolis, Indiana; Department of Pediatrics, Section of Adolescent Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Peter R FinnDepartment of Psychological and Brain Sciences, Indiana University, Bloomington, Indiana.
John I NurnbergerDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana.
Leslie A HulvershornDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana. Electronic address: lhulvers@iupui.edu.
Indiana University School of MedicineIndiana University – Purdue University Indianapolis · USIndiana University Bloomington · US

Funding

Neural Response to Risky Decision Making in Youth at High Risk for Substance Use Disorders and HIVR01DA039764 · NIDA · INDIANA UNIVERSITY INDIANAPOLIS · PI HULVERSHORN, LESLIE A. · 2016 to 2021
$3.3M
M-Health Tools to Enhance Treatment of Teen Substance Abuse and Mental IllnessK23DA038257 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ADAMS, ZACHARY WILLIAM · 2015 to 2019
$906k
NIDA NIH HHS R01 DA039764
6 · The paper itself

Abstract

backgroundSuicidality is a leading cause of death among adolescents. In addition to other psychiatric conditions, youths with attention-deficit/hyperactivity disorder (ADHD) and disruptive behavior disorders (DBDs) are at heightened risk for suicide. Decision-making deficits are a hallmark symptom of ADHD and DBDs and are also implicated in suicidal behavior. We examined behavioral and neural differences in decision making among youths with ADHD and DBDs with (SI+) and without (SI-) histories of suicidal ideation.

methodsThe Balloon Analog Risk Task, a risky decision-making task, was completed by 57 youths with ADHD and DBDs (38% SI+) during functional magnetic resonance imaging. Mean stop wager (mean wager at which youths bank money) was the primary measure of risk taking. We conducted whole-brain and region-of-interest analyses in the anterior cingulate cortex and orbitofrontal cortex (OFC) during choice (win vs. inflate) and outcome (inflate vs. explode) contrasts using parametric modulators accounting for probability of balloon explosion.

resultsThere were no differences between SI+ and SI- youths in Balloon Analog Risk Task performance. SI+ youths showed decreasing activation in the right medial frontal gyrus when choosing inflate as explosion probability increased compared with SI- youths. During explosions, SI- youths showed increasing activation in the left OFC as explosions became more likely. SI+ showed increasing left medial OFC activity in response to inflations as explosion probability increased.

conclusionsSI+ youths may show heightened sensitivity to immediate reward and decreased sensitivity to potential loss as evidenced by medial frontal gyrus activity. OFC findings suggest that SI+ youths may be drawn to reward even when there is high probability of loss.

Indexed as

Problem BehaviorSuicidal IdeationAdolescentDecision MakingHumansMagnetic Resonance ImagingRewardADHDAdolescentDecision makingDisruptive behavior disordersfMRISuicidality

Identifiers

PMID32007432
PMCPMC10568982
OpenAlexW2987309544

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.