Social cognition and suicide-related behaviors in depression: a cross-sectional, exploratory study

Objective: To explore the association between social cognition and previous suicide attempts and non-suicidal self-injurious behavior in adults with unipolar depressive disorders. Methods: Seventy-two patients undergoing outpatient treatment for unipolar depression were enrolled in this cross-sect...

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Main Authors: Sofia Senna, Bianca Schwab, Hiago M. Melo, Alexandre P. Diaz, Marcelo L. Schwarzbold
Format: Article
Language:English
Published: Associação Brasileira de Psiquiatria (ABP) 2022-08-01
Series:Brazilian Journal of Psychiatry
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462022005008203&tlng=en
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author Sofia Senna
Bianca Schwab
Hiago M. Melo
Alexandre P. Diaz
Marcelo L. Schwarzbold
author_facet Sofia Senna
Bianca Schwab
Hiago M. Melo
Alexandre P. Diaz
Marcelo L. Schwarzbold
author_sort Sofia Senna
collection DOAJ
description Objective: To explore the association between social cognition and previous suicide attempts and non-suicidal self-injurious behavior in adults with unipolar depressive disorders. Methods: Seventy-two patients undergoing outpatient treatment for unipolar depression were enrolled in this cross-sectional study. Theory of mind was assessed using the Hinting Task and the Revised Reading the Mind in the Eyes Test. Empathy was evaluated using the Interpersonal Reactivity Index. Lifetime suicide attempts and non-suicidal self-injurious behavior were assessed using the Columbia Suicide Risk Rating Scale. Participants with and without these suicide-related outcomes were compared in terms of social cognition. Results: Patients with previous suicide attempts performed worse on the Reading the Mind in the Eyes Test (p = 0.017). Patients with a history of non-suicidal self-injurious behavior were younger (p = 0.005), had a younger age at first depressive episode (p = 0.017), and scored higher on personal distress in the Interpersonal Reactivity Index (p = 0.027). Only personal distress remained independently associated with non-suicidal self-injurious behavior in multivariable analysis (p = 0.038). Conclusion: Among patients with depression, those with previous suicide attempts or non-suicidal self-injurious behavior showed worse social cognition. These results encourage future research on social cognition deficits as clinical markers of suicide-related behaviors and as targets for interventions.
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spelling doaj.art-c87135da6f3b4a8eb3ac93bb1f8e49912022-12-22T04:27:30ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2022-08-0110.47626/1516-4446-2021-2407Social cognition and suicide-related behaviors in depression: a cross-sectional, exploratory studySofia Sennahttps://orcid.org/0000-0001-9172-7974Bianca SchwabHiago M. MeloAlexandre P. DiazMarcelo L. Schwarzbold Objective: To explore the association between social cognition and previous suicide attempts and non-suicidal self-injurious behavior in adults with unipolar depressive disorders. Methods: Seventy-two patients undergoing outpatient treatment for unipolar depression were enrolled in this cross-sectional study. Theory of mind was assessed using the Hinting Task and the Revised Reading the Mind in the Eyes Test. Empathy was evaluated using the Interpersonal Reactivity Index. Lifetime suicide attempts and non-suicidal self-injurious behavior were assessed using the Columbia Suicide Risk Rating Scale. Participants with and without these suicide-related outcomes were compared in terms of social cognition. Results: Patients with previous suicide attempts performed worse on the Reading the Mind in the Eyes Test (p = 0.017). Patients with a history of non-suicidal self-injurious behavior were younger (p = 0.005), had a younger age at first depressive episode (p = 0.017), and scored higher on personal distress in the Interpersonal Reactivity Index (p = 0.027). Only personal distress remained independently associated with non-suicidal self-injurious behavior in multivariable analysis (p = 0.038). Conclusion: Among patients with depression, those with previous suicide attempts or non-suicidal self-injurious behavior showed worse social cognition. These results encourage future research on social cognition deficits as clinical markers of suicide-related behaviors and as targets for interventions.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462022005008203&tlng=enTheory of mindempathysuicideself-injurious behaviordepressive disorder
spellingShingle Sofia Senna
Bianca Schwab
Hiago M. Melo
Alexandre P. Diaz
Marcelo L. Schwarzbold
Social cognition and suicide-related behaviors in depression: a cross-sectional, exploratory study
Brazilian Journal of Psychiatry
Theory of mind
empathy
suicide
self-injurious behavior
depressive disorder
title Social cognition and suicide-related behaviors in depression: a cross-sectional, exploratory study
title_full Social cognition and suicide-related behaviors in depression: a cross-sectional, exploratory study
title_fullStr Social cognition and suicide-related behaviors in depression: a cross-sectional, exploratory study
title_full_unstemmed Social cognition and suicide-related behaviors in depression: a cross-sectional, exploratory study
title_short Social cognition and suicide-related behaviors in depression: a cross-sectional, exploratory study
title_sort social cognition and suicide related behaviors in depression a cross sectional exploratory study
topic Theory of mind
empathy
suicide
self-injurious behavior
depressive disorder
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462022005008203&tlng=en
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