Ortuño-Sierra Javier, Aritio-Solana Rebeca, Del Casal Adriana Díez Gómez, Fonseca-Pedrero Eduardo
Arch Suicide Res. 2021 Jul-Sep;25(3):657-671. doi: 10.1080/13811118.2020.1746938. Epub 2020 Apr 7.
Today, little is still known about the neurocognitive functioning of the individual at risk for suicide in a relevant developmental stage like adolescence. Thus, the main goal of the present work was to analyze the neurocognitive performance of adolescents at high risk for suicide. A total of 1509 adolescents from a stratified random cluster sampling were selected. Adolescents at risk for suicidal behaviors included 83 participants. A comparison group of 83 participants matched by age and gender was also randomly selected from the sample. The Paykel Suicide Scale (PSS) and the University of Pennsylvania Computerized Neurocognitive Battery for children (included 14 tasks assessing five neurobehavioral domains: executive functions, episodic memory, complex cognition, social cognition, and sensorimotor speed) were used. Adolescents at risk for suicide revealed statistically significant impairments across different neurocognitive domains including complex cognition, episodic memory and social cognition. No significant differences were found for Sensorimotor and Executive Function domains. Results found in the present study contribute relevant information about the nature of the neurocognitive impairments associated with suicide and add information in order to deeper comprehend the tentative etiology of suicide thoughts and attempts in adolescents with the aim to establish preventive treatments.
如今,对于处于如青春期这种相关发育阶段的有自杀风险个体的神经认知功能,人们仍然知之甚少。因此,本研究的主要目标是分析有高自杀风险青少年的神经认知表现。从分层随机整群抽样中选取了总共1509名青少年。有自杀行为风险的青少年包括83名参与者。还从样本中随机选取了83名按年龄和性别匹配的参与者作为对照组。使用了佩克尔自杀量表(PSS)和宾夕法尼亚大学儿童计算机化神经认知测试组合(包括14项任务,评估五个神经行为领域:执行功能、情景记忆、复杂认知、社会认知和感觉运动速度)。有自杀风险的青少年在不同神经认知领域,包括复杂认知、情景记忆和社会认知方面,显示出具有统计学意义的损伤。在感觉运动和执行功能领域未发现显著差异。本研究的结果提供了有关与自杀相关的神经认知损伤性质的相关信息,并补充了信息,以便更深入地理解青少年自杀念头和企图的初步病因,旨在建立预防性治疗方法。