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Huber, Rebekah S.; Hodgson, Riley; Yurgelun-Todd, Deborah A.
Psychiatry research, December 2019, 2019-12-00, 20191201, Volume: 282Journal Article
•Cognitive deficits are a transdiagnostic risk factor for suicide behavior.•Impairments in cognitive control were reported during suicide ideation and attempts.•Deficits in inhibitory function may play a role in the progression from suicidal thoughts to attempts.•Future studies of suicidality need to utilize RDoC paradigms and comprehensive suicide assessment. Neurocognitive deficits are associated with both suicide behavior (SB) and psychiatric disorders. Application of a transdiagnostic framework to identify neurocognitive commonalities of SB may clarify important risk factors of SB across psychiatric disorders. The aim of this study was to conduct a qualitative systematic literature review of SB using the Research Domain Criteria (RDoC) Cognitive Systems framework to determine if cognitive deficits exist independently of psychiatric disorders in SB. The following six constructs that encompass the Cognitive Systems domain were assessed: 1) Attention, 2) Cognitive Control, 3) Declarative Memory, 4) Language, 5) Perception, and 6) Working Memory. A total of 1386 abstracts were identified and 74 studies met the inclusion criteria for this review. The majority of studies reviewed (65%) had significant differences in cognition between individuals with and without SB. Seventy-nine percent of studies with a patient control group showed significant cognitive deficits in SB groups. Deficits in cognitive control were associated with SB and had the greatest percentage of studies with significant main findings. Use of the RDoC cognitive systems framework to evaluate SB revealed that cognitive deficits may be a transdiagnostic risk factor for SB, especially alterations in cognitive control.
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