Active and Passive Problem Solving: Moderating Role in the Relation Between Depressive Symptoms and Future Suicidal Ideation Varies by Suicide Attempt History

Quiñones, Victoria; Jurska, Justyna; Fener, Eileen; Miranda, Regina

doi:10.1002/jclp.22155

Cited by 21 publications

(14 citation statements)

References 26 publications

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“… 114 In accord with the latter explanation, research suggests that poorer problem-solving abilities are highly associated with suicide attempts 115 and that those who attempt suicide tend to perceive themselves as passive problem solvers. 116 Clearly, more research needs to be conducted in examining which of these explanations are more viable. These findings could be beneficial to clinicians charged with providing treatment aimed at ameliorating the effects of childhood maltreatment for younger children.…”

Section: Discussionmentioning

confidence: 99%

Association of Childhood Maltreatment With Suicide Behaviors Among Young People

2020

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Section: Discussionmentioning

confidence: 99%

Association of Childhood Maltreatment With Suicide Behaviors Among Young People

2020

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“…The style of problem solving also seems to be related to suicidal behavior. Quinones et al ( 39 ) found that patients who attempt suicide tend to present more passive strategies of solution of problems, that is, they are dependent on the action of other people, related to luck and chance or over time.…”

Section: Cognition and Suicide Behaviormentioning

confidence: 99%

“…At least part of the effectiveness of mindfulness-based interventions for suicide prevention has also been related by means of improvement in problem solving, as well as attentional dyscontrol and abnormal stress response ( 43 ). Thus, therapies with the aim of improve problem-solving abilities, especially active problem solving ( 39 ), should be considered in individuals at higher risk for suicide.…”

Section: Cognition and Suicide Behaviormentioning

confidence: 99%

Cognition As a Therapeutic Target in the Suicidal Patient Approach

et al. 2018

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The current considerations about completed suicides and suicide attempts in different cultures call the attention of professionals to this serious public health problem. Integrative approaches have shown that the confluence of multiple biological and social factors modulate various psychopathologies and dysfunctional behaviors, such as suicidal behavior. Considering the level of intermediate analysis, personality traits and cognitive functioning are also of great importance for understanding the suicide phenomenon. About cognitive factors, we can group them into cognitive schemas of reality interpretation and underlying cognitive processes. On the other hand, different types of primary cognitive alterations are related to suicidal behavior, especially those resulting from changes in frontostriatal circuits. Among such cognitive mechanisms can be highlighted the attentional bias for environmental cues related to suicide, impulsive behavior, verbal fluency deficits, non-adaptive decision-making, and reduced planning skills. Attentional bias consists in the effect of thoughts and emotions, frequently not conscious, about the perception of environmental stimuli. Suicidal ideation and hopelessness can make the patient unable to find alternative solutions to their problems other than suicide, biasing their attention to environmental cues related to such behavior. Recent research efforts are directed to assess the possible use of attention bias as a therapeutic target in patients presenting suicide behavior. The relationship between impulsivity and suicide has been largely investigated over the last decades, and there is still controversy about the theme. Although there is strong evidence linking impulsivity to suicide attempts. Effective interventions address to reduce impulsivity in clinical populations at higher risk for suicide could help in the prevention. Deficits in problem-solving ability also seem to be distorted in patients who attempt suicide. Understanding cognitive changes in patients who attempt suicide open an important perspective in the approach of patients with mental disorders. Identifying cognitive deficits in these patients, along with personality traits, depressive symptoms, and suicidal cognitive schemas may indicate to the psychiatrist the need for emergency care. Behavioral and cognitive interventions have been associated with reductions in suicide ideation, as well as suicide attempts in different populations.

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“…The attrition rate was 10% (16 out of 160 participants did not complete the follow‐up), and one additional participant was excluded due to missing data at follow‐up. Note that the larger sample from which the present one was selected has been described elsewhere (Quiñones, Jurska, Fener, & Miranda, ), and the present sample only includes individuals who completed measures of emotion reactivity and comfort expressing emotions (described below) and who took part in the study's 12‐month follow up.…”

Section: Methodsmentioning

confidence: 99%

Emotion Reactivity, Comfort Expressing Emotions, and Future Suicidal Ideation in Emerging Adults

et al. 2017

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Objective: Emotion reactivity and difficulties in expressing emotions have been implicated in risk for suicidal behavior. This study examined comfort in expressing emotions (positive vs. negative) and depressive symptoms as mediators of the prospective relation between emotion reactivity and suicidal ideation. Design: Emerging adults (N = 143; 72% female; 28% White) completed measures of emotion reactivity, comfort expressing emotions, and suicidal ideation at baseline and of depressive symptoms and suicidal ideation 12 months later. Results: Emotion reactivity predicted suicidal ideation at follow-up through depressive symptoms. Difficulty expressing love-but not happiness, sadness, and anger-partially mediated the relationship between emotion reactivity and suicidal ideation at follow-up before but not after adjusting for baseline ideation. Conclusion: The relation between high emotion reactivity and suicidal ideation may be explained by discomfort in the expression of positive emotions and by depressive symptoms. Promotion of comfort in positive emotion expression may reduce vulnerability to suicidal ideation. C 2017 Wiley Periodicals, Inc. J. Clin. Psychol. 74:123-135, 2018.

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Active and Passive Problem Solving: Moderating Role in the Relation Between Depressive Symptoms and Future Suicidal Ideation Varies by Suicide Attempt History

Cited by 21 publications

References 26 publications

Association of Childhood Maltreatment With Suicide Behaviors Among Young People

Association of Childhood Maltreatment With Suicide Behaviors Among Young People

Cognition As a Therapeutic Target in the Suicidal Patient Approach

Emotion Reactivity, Comfort Expressing Emotions, and Future Suicidal Ideation in Emerging Adults

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