Neurocognitive Functioning and Suicidal Behavior in Violent Offenders with Schizophrenia Spectrum Disorders

Suicide is one of the main premature causes of death in patients with schizophrenia. However, little is known about the relationship between neurocognitive functioning and suicidality in violent offenders with schizophrenia who have been sentenced to psychiatric treatment after committing violent cr...

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Main Authors: Miriam Sánchez-Sansegundo, Irene Portilla-Tamarit, María Rubio-Aparicio, Natalia Albaladejo-Blazquez, Nicolás Ruiz-Robledillo, Rosario Ferrer-Cascales, Ana Zaragoza-Martí
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/10/12/1091
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author Miriam Sánchez-Sansegundo
Irene Portilla-Tamarit
María Rubio-Aparicio
Natalia Albaladejo-Blazquez
Nicolás Ruiz-Robledillo
Rosario Ferrer-Cascales
Ana Zaragoza-Martí
author_facet Miriam Sánchez-Sansegundo
Irene Portilla-Tamarit
María Rubio-Aparicio
Natalia Albaladejo-Blazquez
Nicolás Ruiz-Robledillo
Rosario Ferrer-Cascales
Ana Zaragoza-Martí
author_sort Miriam Sánchez-Sansegundo
collection DOAJ
description Suicide is one of the main premature causes of death in patients with schizophrenia. However, little is known about the relationship between neurocognitive functioning and suicidality in violent offenders with schizophrenia who have been sentenced to psychiatric treatment after committing violent crimes. We examined the neurocognitive functioning of a sample of 61 violent offenders, most of them murderers with schizophrenia who were classified as suicide attempters (<i>n</i> = 26) and non-attempters (<i>n</i> = 35). We compared the neurocognitive functioning of both groups using a neuropsychological battery. Suicide attempters showed similar performance to non-attempters in a neuropsychological test across all domains of cognitive functioning, memory, attention, verbal fluency, and executive functioning. However, after controlling for demographic and clinical variables, suicide attempters performed better than non-attempters in two planning-related tasks: the Tower of London (<i>p</i> < 0.01) and the Zoo Map (<i>p</i> < 0.01). Suicide attempters were also characterized as having more family histories of suicidality and as displaying more depressive symptoms and negative symptoms of psychopathology on the Positive and Negative Syndrome Scale (PANSS) scale. These results suggest that suicide attempters have a greater ability to formulate plans and initiate goals directed at making a suicide attempt.
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spelling doaj.art-23cdd8f2487043469893fb73ca18be832023-11-21T00:49:11ZengMDPI AGDiagnostics2075-44182020-12-011012109110.3390/diagnostics10121091Neurocognitive Functioning and Suicidal Behavior in Violent Offenders with Schizophrenia Spectrum DisordersMiriam Sánchez-Sansegundo0Irene Portilla-Tamarit1María Rubio-Aparicio2Natalia Albaladejo-Blazquez3Nicolás Ruiz-Robledillo4Rosario Ferrer-Cascales5Ana Zaragoza-Martí6Department of Health Psychology, Faculty of Health Science, University of Alicante, 03690 Alicante, SpainDepartment of Health Psychology, Faculty of Health Science, University of Alicante, 03690 Alicante, SpainDepartment of Health Psychology, Faculty of Health Science, University of Alicante, 03690 Alicante, SpainDepartment of Health Psychology, Faculty of Health Science, University of Alicante, 03690 Alicante, SpainDepartment of Health Psychology, Faculty of Health Science, University of Alicante, 03690 Alicante, SpainDepartment of Health Psychology, Faculty of Health Science, University of Alicante, 03690 Alicante, SpainDepartment of Nursing, Faculty of Health Science, University of Alicante, 03690 Alicante, SpainSuicide is one of the main premature causes of death in patients with schizophrenia. However, little is known about the relationship between neurocognitive functioning and suicidality in violent offenders with schizophrenia who have been sentenced to psychiatric treatment after committing violent crimes. We examined the neurocognitive functioning of a sample of 61 violent offenders, most of them murderers with schizophrenia who were classified as suicide attempters (<i>n</i> = 26) and non-attempters (<i>n</i> = 35). We compared the neurocognitive functioning of both groups using a neuropsychological battery. Suicide attempters showed similar performance to non-attempters in a neuropsychological test across all domains of cognitive functioning, memory, attention, verbal fluency, and executive functioning. However, after controlling for demographic and clinical variables, suicide attempters performed better than non-attempters in two planning-related tasks: the Tower of London (<i>p</i> < 0.01) and the Zoo Map (<i>p</i> < 0.01). Suicide attempters were also characterized as having more family histories of suicidality and as displaying more depressive symptoms and negative symptoms of psychopathology on the Positive and Negative Syndrome Scale (PANSS) scale. These results suggest that suicide attempters have a greater ability to formulate plans and initiate goals directed at making a suicide attempt.https://www.mdpi.com/2075-4418/10/12/1091suicideneurocognitionschizophreniaoffendersneuropsychology
spellingShingle Miriam Sánchez-Sansegundo
Irene Portilla-Tamarit
María Rubio-Aparicio
Natalia Albaladejo-Blazquez
Nicolás Ruiz-Robledillo
Rosario Ferrer-Cascales
Ana Zaragoza-Martí
Neurocognitive Functioning and Suicidal Behavior in Violent Offenders with Schizophrenia Spectrum Disorders
Diagnostics
suicide
neurocognition
schizophrenia
offenders
neuropsychology
title Neurocognitive Functioning and Suicidal Behavior in Violent Offenders with Schizophrenia Spectrum Disorders
title_full Neurocognitive Functioning and Suicidal Behavior in Violent Offenders with Schizophrenia Spectrum Disorders
title_fullStr Neurocognitive Functioning and Suicidal Behavior in Violent Offenders with Schizophrenia Spectrum Disorders
title_full_unstemmed Neurocognitive Functioning and Suicidal Behavior in Violent Offenders with Schizophrenia Spectrum Disorders
title_short Neurocognitive Functioning and Suicidal Behavior in Violent Offenders with Schizophrenia Spectrum Disorders
title_sort neurocognitive functioning and suicidal behavior in violent offenders with schizophrenia spectrum disorders
topic suicide
neurocognition
schizophrenia
offenders
neuropsychology
url https://www.mdpi.com/2075-4418/10/12/1091
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