Relationship between cognition and suicidal behavior in recent-onset psychosis

Sastre-Buades, Aina; Caro-Cañizares, Irene; Ochoa, Susana; Lorente-Rovira, Esther; Barajas, Ana; Gutiérrez-Zotes, Alfonso; Sánchez-Alonso, Sergio; López-Carrilero, Raquel; Grasa, Eva; Pousa, Esther; Peláez, Trinidad; Cid, Jordi; González-Higueras, Fermín; Ruiz-Delgado, Isabel; Baca‐García, Enrique; Barrigón, María Luisa

doi:10.1016/j.schres.2022.12.042

Cited by 4 publications

(9 citation statements)

References 76 publications

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“… 42 Despite this, other studies found no relationship between the ER40 and suicide attempts, 33 or the Faces Test and suicide attempts. 44 In terms of more complex emotion recognition and processing through the MSCEIT, 1 study found no group differences on MSCEIT performances between people with and without a lifetime suicide attempt in a FEP sample, 47 and another study found no group differences on MSCEIT performances between people who had and had not attempted suicide over a 20-year follow-up post FEP. 39 Once again, the literature in this area is mixed, but it is possible that negative affect emotion recognition abilities may be linked to suicide attempts in this population.…”

Section: Resultsmentioning

confidence: 98%

“… 33 , 40 , 41 , 43 , 46 , 47 , 50 , 53 , 55 Twelve studies collected data relating to SB, specifically suicide attempts. 33 , 39 , 41 , 42 , 44–47 , 51 , 52 , 54 , 55 For SI and behavior, studies varied in the method of assessment (interviewer-rated vs self- or informant-report) and depth (scale vs single item) in characterizing this construct. Importantly, no studies separately analyzed data on types of SB other than actual suicidal attempts (ie, preparatory behaviors, aborted attempts, and interrupted attempts), and only 1 study 55 examined suicide attempt lethality.…”

Section: Resultsmentioning

confidence: 99%

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Systematic Review of the Link Between Social Cognition and Suicidal Ideation and Behavior in People With Serious Mental Illness

Parrish,

Steenkamp,

Chalker

et al. 2024

Schizophrenia Bulletin Open

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Background and Hypothesis People with serious mental illness (SMI; psychotic and affective disorders with psychosis) are at an increased risk of suicide, yet there is limited research on the correlates of suicide in SMI. Social cognitive impairments are common among people with SMI and several studies have examined social cognition and suicidal ideation (SI) and behavior. This systematic review aims to evaluate the links between various domains of social cognition, SI, and suicidal behavior in SMI. Study Design Electronic databases (PubMed and PsycInfo) were searched through June 2023. Records obtained through this search (N=618) were screened by two independent reviewers according to inclusion criteria. Relevant data were extracted, and study quality was assessed. Study Results Studies (N=16) from twelve independent samples were included in the systematic review (N=2,631, sample sizes ranged from N=20 to N=593). Assessments of social cognition and SI and behavior varied widely between studies. Broadly, effects were mixed. Better emotion recognition of negative affect was linked to SI and a history of suicide attempts, though there is little consistent evidence for the relationship of emotion recognition and SI or behavior. On the other hand, better theory of mind ability was linked to SI and a history of suicide attempts. Furthermore, negative attributional bias was linked to current SI, but not a history of SI or attempt. Conclusions This review suggests mixed associations between social cognition, SI, and behavior in SMI. Future research should evaluate additional mediators and moderators of social cognition and suicide, employing prospective designs.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Systematic Review of the Link Between Social Cognition and Suicidal Ideation and Behavior in People With Serious Mental Illness

Parrish,

Steenkamp,

Chalker

et al. 2024

Schizophrenia Bulletin Open

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“…The jumping to conclusions bias is often considered to be characteristic of SSDs; however, it is possible that this bias is actually transdiagnostic. Jumping to conclusions has also been observed in individuals experiencing depression and anxiety [12, 13], suggesting that it may be a common bias in mental health conditions. It is unclear whether this bias in schizophrenia is fully accounted for by comorbid depression and anxiety or whether it is a common bias associated with a variety of mental health conditions including schizotypy.…”

Section: Discussionmentioning

confidence: 99%

“…Cognitive biases have been suggested to be an early risk factor for developing psychosis [5] and are observed in individuals with high levels of schizotypy [6,7]. However, schizotypy and SSDs are comorbid with other mental health conditions such as mood and anxiety disorders [8][9][10] that are similarly characterized by cognitive biases [11][12][13]. Thus, it is currently unknown which cognitive biases are specific to schizotypy and are not simply a feature of mood and anxiety comorbidities.…”

Section: Introductionmentioning

confidence: 99%

“…Depression and anxiety are also characterized by cognitive biases. For example, individuals with depression and anxiety engage in the jumping to conclusions bias [12, 13], the belief inflexibility bias [11] which refers to one’s capacity to update one’s beliefs based on new information [25], and self-referential processing [26]. Individuals with depression also engage in other cognitive biases such as catastrophizing, the interpretation bias [27], attentional bias related to extended gazing at dysphoric stimuli [28], and implicit memory bias [29, 30].…”

Section: Introductionmentioning

confidence: 99%

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Examining Cognitive Biases Uniquely Associated with Schizotypy

Zahid

Best

2023

Psychopathology

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Introduction: Individuals with schizotypy can experience a number of cognitive biases that may increase their risk in developing schizophrenia-spectrum psychopathology. However, cognitive biases are also present in mood and anxiety disorders, and it is currently unclear which biases are specific to schizotypy and which may be a result of comorbid depression and/or anxiety. Methods: 462 participants completed measures of depression, anxiety, cognitive biases, cognitive schemas, and schizotypy. Correlation analyses were conducted to examine the relationship between these constructs. Three hierarchical regression analyses were conducted to examine if schizotypy, depression, and anxiety explained a statistically significant amount of variance in cognitive biases after controlling for depression and anxiety, schizotypy and anxiety, and schizotypy and depression, respectively. Moderated regression analyses were also conducted to investigate the moderating role of biological sex and ethnicity in the association between cognitive biases and schizotypy. Results: Self-referential processing, belief inflexibility, and attention for threat were associated with schizotypy. The belief inflexibility bias and social cognition problems were specifically associated with schizotypy after controlling for depression and anxiety and were not directly associated with either depression or anxiety. These associations were not moderated by biological sex or ethnicity. Conclusion: The belief inflexibility bias may be an important cognitive bias underlying schizotypal personality, and further research will be important to determine whether this bias is also associated with an increased likelihood of transitioning to psychosis.

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