Neurocognitive functioning and suicidality in schizophrenia spectrum disorders
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Published on: April 23, 2014
Elizabeth A Barrett1, Kjetil Sundet, Carmen Simonsen
1Department of Mental Health and Addiction, Oslo University Hospital, 0424 Oslo, Norway. e.a.barrett@medisin.uio.no
Objective:
The aim of this study was to investigate whether suicide attempters had higher IQ, better executive functioning, or were more impulsive as measured by neuropsychological tests than non-attempters in a group of patients with schizophrenia spectrum disorders.
Method:
One hundred seventy-four patients with schizophrenia spectrum disorders were assessed with a clinical interview for diagnosis, suicidality, symptoms and function, and underwent an extensive neurocognitive test battery.
Results:
There were no statistically significant differences in any neurocognitive domains between lifetime suicide attempters and non-attempters, or between patients with different rates of suicide attempts. Currently suicidal patients were significantly more impulsive (had poorer inhibitory control) than currently non-suicidal patients, but this difference was mediated by positive psychotic symptoms.
Conclusion:
The findings indicate that among patients with schizophrenia spectrum disorders, there are no significant differences in IQ or neurocognitive functioning between suicide attempters and non-attempters.
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