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论冲动性和决策在自杀行为中的作用。

On the role of impulsivity and decision-making in suicidal behavior.

机构信息

Yari Gvion, Department of Clinical Psychology, Bar Ilan University, Ramat-Gan 52900, Israel.

出版信息

World J Psychiatry. 2015 Sep 22;5(3):255-9. doi: 10.5498/wjp.v5.i3.255.

DOI:10.5498/wjp.v5.i3.255
PMID:26425440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4582302/
Abstract

Suicide risk constitutes a complex set of interacting demographic, clinical, psychobiological and environmental variables. Impulsivity is a long-known risk factor for suicide attempts. However, research based on clearer conceptual refinement in this area is imperative. One emerging field of study is that of decision-making. Impulsivity involves a failure of higher-order control, including decision-making. Using standardized operational definitions that take into consideration relevant aspects of impulsivity, including state- and trait-components and a deeper understanding of the process of decision-making in the suicidal mind, we may come a step closer to understanding suicidality and winning the fight in this scourge of human suffering.

摘要

自杀风险是一组由人口统计学、临床、心理生物学和环境变量相互作用构成的复杂因素。冲动是自杀企图的已知危险因素。然而,基于该领域更清晰的概念细化的研究是必不可少的。一个新兴的研究领域是决策。冲动涉及到高阶控制的失败,包括决策。使用考虑到冲动的相关方面的标准化操作定义,包括状态和特质成分,以及对自杀思维中决策过程的更深入理解,我们可能会更接近理解自杀性,并在这场人类苦难的灾难中取得胜利。

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本文引用的文献

1
Differentiating suicide attempters from suicide ideators: a critical frontier for suicidology research.区分自杀未遂者与有自杀意念者:自杀学研究的一个关键前沿领域。
Suicide Life Threat Behav. 2014 Feb;44(1):1-5. doi: 10.1111/sltb.12068. Epub 2013 Dec 7.
2
The functional and structural neural basis of individual differences in loss aversion.损失规避个体差异的功能和结构神经基础。
J Neurosci. 2013 Sep 4;33(36):14307-17. doi: 10.1523/JNEUROSCI.0497-13.2013.
3
Reward signals, attempted suicide, and impulsivity in late-life depression.老年期抑郁症中的奖励信号、自杀未遂和冲动性。
JAMA Psychiatry. 2013 Oct;70(10):1. doi: 10.1001/jamapsychiatry.2013.75.
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Impaired decision making in adolescent suicide attempters.青少年自杀未遂者的决策障碍。
J Am Acad Child Adolesc Psychiatry. 2012 Apr;51(4):394-403. doi: 10.1016/j.jaac.2012.01.002. Epub 2012 Feb 22.
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Rationality and emotionality: serotonin transporter genotype influences reasoning bias.理性与感性:5-羟色胺转运体基因影响推理偏差。
Soc Cogn Affect Neurosci. 2013 Apr;8(4):404-9. doi: 10.1093/scan/nss011. Epub 2012 Jan 24.
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Emotion regulation reduces loss aversion and decreases amygdala responses to losses.情绪调节减少了损失厌恶,并降低了杏仁核对损失的反应。
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Crisis. 2011;32(6):295-8. doi: 10.1027/0227-5910/a000120.
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Aggression, impulsivity, and suicide behavior: a review of the literature.攻击行为、冲动行为与自杀行为:文献综述。
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Gambling and completed suicide in Hong Kong: a review of coroner court files.香港的赌博与自杀既遂:死因裁判法庭档案综述
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Substance use and suicide.物质使用与自杀。
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