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Executive function and suicidality: A systematic qualitative review.

Keith Bredemeier1, Ivan W Miller1

  • 1Department of Psychiatry and Human Behavior, Brown University and Butler Hospital, United States.

Clinical Psychology Review
|July 3, 2015
PubMed
Summary
This summary is machine-generated.

Executive function (EF) deficits may be linked to suicidality, but the association varies by diagnosis. Further research is needed to clarify the complex relationship between cognitive rigidity and suicide risk.

Keywords:
Executive functionInhibitionShiftingSuicidalitySuicide attemptUpdating

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Cognitive Psychology

Background:

  • Executive function (EF) deficits are hypothesized to underlie cognitive rigidity in suicidal individuals.
  • Understanding the link between EF and suicidality is crucial for developing targeted interventions.

Purpose of the Study:

  • To systematically review the literature on the relationship between executive function and suicidality.
  • To organize findings using Miyake et al.'s (2000) multidimensional model of EF.
  • To examine variations in this relationship across different diagnostic and demographic groups.

Main Methods:

  • Systematic review of 43 journal articles published before January 2014.
  • Studies were analyzed based on their investigation of executive function and suicidality.
  • The multidimensional model of EF served as a framework for analysis.

Main Results:

  • Tentative support for an association between executive function deficits and suicidality was found.
  • The association appears moderated by factors like suicide attempt lethality.
  • Findings varied significantly across diagnostic groups, with stronger associations in depressive disorders compared to bipolar or psychotic disorders.

Conclusions:

  • A complex relationship exists between executive function and suicidality, influenced by diagnostic context.
  • More research is required to establish firm conclusions on specific EF dimensions and suicidality aspects.
  • Future studies should address limitations in the current literature to advance understanding.