A behavioral and cognitive neuroscience perspective on impulsivity, suicide, and non-suicidal self-injury: Meta-analysis and recommendations for future research

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS

卷:83

Review

Liu, Richard T.¹  Trout, Zoe M.¹  Hernandez, Evelyn M.¹  Cheek, Shayna M.²  Gerlus, Nimesha³ 

[1] Brown Univ, Dept Psychiat & Human Behav, Alpert Med Sch, Providence, RI 02912 USA

[2] Duke Univ, Dept Psychol & Neurosci, Durham, NC 27706 USA

[3] Brown Univ, Dept Cognit Linguist & Psychol Sci, Providence, RI 02912 USA

关键词: Impulsivity;    Non-suicidal self-injury;    Suicide;    Suicidal ideation;    Suicide attempts;   

DOI  :  10.1016/j.neubiorev.2017.09.019

来源: Elsevier

【 摘 要 】

We conducted a meta-analysis of neurobehavioral and neurocognitive indices of impulsivity in relation to suicidal thoughts and behaviors, as well as non-suicidal self-injury (NSSI). In our systematic review, 34 studies were identified and submitted to a random-effects meta-analysis. A small pooled effect size was observed for the association between behavioral impulsivity and NSSI (OR = 1.34, p < 0.05). A small-to-medium pooled effect size (OR = 2.23, p < 0.001) was found for the association between behavioral impulsivity and suicide attempts, and a medium-to-large pooled effect size was observed for this outcome in relation to cognitive impulsivity (OR = 3.14, p < 0.01). Length of time between suicide attempt and impulsivity assessment moderated the strength of the relation between impulsivity and attempts, with a large pooled effect size (OR = 5.54, p < 0.001) evident when the suicide attempt occurred within a month of behavioral impulsivity assessment. Studies of clinically significant NSSI temporally proximal to impulsivity assessment are needed. Longitudinal research is required to clarify the prognostic value of behavioral and cognitive impulsivity for short-term risk for self-harm.

【 授权许可】

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