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Decision-making in adolescents with suicidal ideation: A case-control study.
Arielle H Sheftall1, Dustin J Davidson1, Sandy M McBee-Strayer1
1The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, United States.
Psychiatry Research
|July 13, 2015
Summary
Adolescent decision-making abilities, assessed via the Iowa Gambling Task, were similar between youths with suicidal ideation and controls. Differences disappeared after accounting for affective issues and medication.
Area of Science:
- Neuroscience
- Psychiatry
- Developmental Psychology
Background:
- Decision-making deficits are linked to suicide attempts in adolescents and adults.
- Understanding these deficits is crucial for suicide prevention strategies.
Purpose of the Study:
- To investigate decision-making performance in adolescents with suicidal ideation using the Iowa Gambling Task.
- To compare decision-making between suicidal and non-suicidal adolescents.
Main Methods:
- The study involved 19 adolescents with suicidal ideation and 19 never-suicidal comparison subjects.
- Iowa Gambling Task performance was assessed for both groups.
- Statistical analyses controlled for current affective problems and psychotropic medication use.
Main Results:
- Initial group differences in decision-making performance were observed.
- These differences were no longer significant after controlling for affective problems and medication use.
- This suggests affective state and medication may influence decision-making in this population.
Conclusions:
- Decision-making deficits may not be an independent risk factor for suicidal ideation in adolescents.
- Affective problems and medication use are important confounders in decision-making research among adolescents.
- Further research is needed to clarify the role of decision-making in the progression from suicidal thoughts to attempts.
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