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Suicidal behavior and cognitive flexibility: design and verbal fluency after attempted suicide.
A Bartfai1, I M Winborg, P Nordström
1Department of Psychiatry and Psychology, Karolinska Hospital, Stockholm, Sweden.
Suicide & Life-Threatening Behavior
|January 1, 1990
Summary
Male psychiatric patients who attempted suicide showed lower general intellectual and fluency scores. Problem-solving and cognitive flexibility remained comparable to controls, suggesting reduced idea generation in suicidal individuals.
Area of Science:
- Psychiatry
- Neuroscience
- Cognitive Psychology
Background:
- Suicide attempts are a significant public health concern.
- Understanding cognitive deficits in suicidal patients is crucial for intervention.
- Previous research indicates varied cognitive impairments in individuals with a history of suicide attempts.
Purpose of the Study:
- To investigate specific cognitive functions, including problem-solving and cognitive flexibility, in male psychiatric patients after a suicide attempt.
- To compare the performance of suicidal patients with control groups, including those with chronic pain and healthy volunteers.
Main Methods:
- Assessed problem-solving and cognitive flexibility using tests like the Perceptual Maze Test, Wisconsin Card-Sorting Test, Uses of Objects Test, and Stroop Test.
- Administered general intellectual tests and fluency tests (verbal and design).
- Included nine male psychiatric patients hospitalized after suicide attempts and control groups.
Main Results:
- Suicidal patients exhibited significantly lower scores on general intellectual tests and in verbal and design fluency compared to controls.
- No significant differences were observed in problem-solving abilities (Perceptual Maze Test, Wisconsin Card-Sorting Test) or cognitive flexibility (Uses of Objects Test, Stroop Test).
Conclusions:
- The findings suggest that individuals who attempt suicide may have a diminished capacity for generating novel ideas when presented with limited options.
- Cognitive flexibility and core problem-solving skills appear intact, but the ability to ideate is impaired.