Temperament, character and decision-making characteristics of patients with major depressive disorder following a suicide attempt.

<h4>Background</h4>Multiple psychological factors of suicidal behaviour have been identified so far; however, little is known about state-dependent alterations and the interplay of the most prominent components in a suicidal crisis. Thus, the combined effect of particular personality cha...

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Main Authors: Klára M Hegedűs, Bernadett I Gál, Andrea Szkaliczki, Bálint Andó, Zoltán Janka, Péter Z Álmos
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0251935
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author Klára M Hegedűs
Bernadett I Gál
Andrea Szkaliczki
Bálint Andó
Zoltán Janka
Péter Z Álmos
author_facet Klára M Hegedűs
Bernadett I Gál
Andrea Szkaliczki
Bálint Andó
Zoltán Janka
Péter Z Álmos
author_sort Klára M Hegedűs
collection DOAJ
description <h4>Background</h4>Multiple psychological factors of suicidal behaviour have been identified so far; however, little is known about state-dependent alterations and the interplay of the most prominent components in a suicidal crisis. Thus, the combined effect of particular personality characteristics and decision-making performance was observed within individuals who recently attempted suicide during a major depressive episode.<h4>Methods</h4>Fifty-nine medication-free major depressed patients with a recent suicide attempt (within 72 h) and forty-five healthy control individuals were enrolled in this cross-sectional study. Temperament and character factors, impulsivity and decision-making performance were assessed. Statistical analyses aimed to explore between-group differences and the most powerful contributors to suicidal behaviour during a depressive episode.<h4>Results</h4>Decision-making and personality differences (i.e. impulsivity, harm avoidance, self-directedness, cooperativeness and transcendence) were observed between the patient and the control group. Among these variables, decision-making, harm avoidance and self-directedness were shown to have the strongest impact on a recent suicide attempt of individuals with a diagnosis of major depressive disorder according to the results of the binary logistic regression analysis. The model was significant, adequately fitted the data and correctly classified 79.8% of the cases.<h4>Conclusions</h4>The relevance of deficient decision-making, high harm avoidance and low self-directedness was modelled in the case of major depressed participants with a recent suicide attempt; meaning that these individuals can be described with the myopia for future consequences, a pessimistic, anxious temperament; and a character component resulting in the experience of aimlessness and helplessness. Further studies that use a within-subject design should identify and confirm additional characteristics specific to the suicidal mind.
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spelling doaj.art-9a212ce4a80b4ce3ade0049458ababc12022-12-21T18:44:05ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01165e025193510.1371/journal.pone.0251935Temperament, character and decision-making characteristics of patients with major depressive disorder following a suicide attempt.Klára M HegedűsBernadett I GálAndrea SzkaliczkiBálint AndóZoltán JankaPéter Z Álmos<h4>Background</h4>Multiple psychological factors of suicidal behaviour have been identified so far; however, little is known about state-dependent alterations and the interplay of the most prominent components in a suicidal crisis. Thus, the combined effect of particular personality characteristics and decision-making performance was observed within individuals who recently attempted suicide during a major depressive episode.<h4>Methods</h4>Fifty-nine medication-free major depressed patients with a recent suicide attempt (within 72 h) and forty-five healthy control individuals were enrolled in this cross-sectional study. Temperament and character factors, impulsivity and decision-making performance were assessed. Statistical analyses aimed to explore between-group differences and the most powerful contributors to suicidal behaviour during a depressive episode.<h4>Results</h4>Decision-making and personality differences (i.e. impulsivity, harm avoidance, self-directedness, cooperativeness and transcendence) were observed between the patient and the control group. Among these variables, decision-making, harm avoidance and self-directedness were shown to have the strongest impact on a recent suicide attempt of individuals with a diagnosis of major depressive disorder according to the results of the binary logistic regression analysis. The model was significant, adequately fitted the data and correctly classified 79.8% of the cases.<h4>Conclusions</h4>The relevance of deficient decision-making, high harm avoidance and low self-directedness was modelled in the case of major depressed participants with a recent suicide attempt; meaning that these individuals can be described with the myopia for future consequences, a pessimistic, anxious temperament; and a character component resulting in the experience of aimlessness and helplessness. Further studies that use a within-subject design should identify and confirm additional characteristics specific to the suicidal mind.https://doi.org/10.1371/journal.pone.0251935
spellingShingle Klára M Hegedűs
Bernadett I Gál
Andrea Szkaliczki
Bálint Andó
Zoltán Janka
Péter Z Álmos
Temperament, character and decision-making characteristics of patients with major depressive disorder following a suicide attempt.
PLoS ONE
title Temperament, character and decision-making characteristics of patients with major depressive disorder following a suicide attempt.
title_full Temperament, character and decision-making characteristics of patients with major depressive disorder following a suicide attempt.
title_fullStr Temperament, character and decision-making characteristics of patients with major depressive disorder following a suicide attempt.
title_full_unstemmed Temperament, character and decision-making characteristics of patients with major depressive disorder following a suicide attempt.
title_short Temperament, character and decision-making characteristics of patients with major depressive disorder following a suicide attempt.
title_sort temperament character and decision making characteristics of patients with major depressive disorder following a suicide attempt
url https://doi.org/10.1371/journal.pone.0251935
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