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Association Between Trauma, Impulsivity, and Functioning in Suicide Attempters.

Paula Jhoana Escobedo-Aedo1,2, Alejandro Porras-Segovia3,4, Maria Luisa Barrigón5,6,7,8

  • 1Department of Psychiatry, Hospital Universitario de Torrejón, 28850 Madrid, Spain.

Behavioral Sciences (Basel, Switzerland)
|September 27, 2025
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Impulsivity and trauma history significantly impact functioning in suicide attempt survivors. Interventions focusing on impulsivity are crucial for improving overall functionality in this population.

Keywords:
functioningimpulsivitysuicidesuicide attemptssuicide ideationtrauma

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Public Health

Background:

  • Suicide attempts are a major public health issue with multiple contributing factors.
  • Trauma history and impulsivity are increasingly recognized as significant risk factors.
  • The interplay between trauma, impulsivity, and functional impairment in suicide attempters requires further investigation.

Purpose of the Study:

  • To investigate the associations between trauma, impulsivity, and functioning in individuals with a history of suicide attempts.
  • To determine the predictive value of trauma and impulsivity on functional impairment.

Main Methods:

  • Cross-sectional study involving 293 patients with previous suicide attempts or severe suicidal ideation.
  • Data collected through assessments of childhood trauma, impulsivity, and functioning.
  • Statistical analyses included Pearson's correlations and logistic regression.

Main Results:

  • A significant correlation was found between trauma and impulsivity, and between impulsivity and functioning.
  • Childhood physical and sexual abuse, along with impulsivity, predicted diminished functioning.
  • Impulsivity remained a significant predictor of functioning after controlling for other variables; gender and age did not moderate these relationships.

Conclusions:

  • Impulsivity is a key factor associated with functional impairment in individuals who have attempted suicide.
  • Clinical interventions should prioritize addressing impulsivity to enhance the functionality of suicide attempt survivors.
  • Understanding the role of trauma in conjunction with impulsivity offers targets for improved treatment strategies.