Citation

Liu RT, Trout ZM, Hernandez EM, Cheek SM, Gerlus N. Neurosci. Biobehav. Rev. 2017; 83: 440-450.

Affiliation

Department of Cognitive, Linguistic, and Psychological Sciences, Brown University, United States.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.neubiorev.2017.09.019

PMID

28928071

Abstract

We conducted a meta-analysis of neurobehavioral and neurocognitive indices of impulsivity in relation to suicidal thoughts and behaviors, as well as non-suicidal self-injury (NSSI). In our systematic review, 34 studies were identified and submitted to a random-effects meta-analysis. A small pooled effect size was observed for the association between behavioral impulsivity and NSSI (OR=1.34, p<0.05). A small-to-medium pooled effect size (OR=2.23, p<0.001) was found for the association between behavioral impulsivity and suicide attempts, and a medium-to-large pooled effect size was observed for this outcome in relation to cognitive impulsivity (OR=3.14, p<0.01). Length of time between suicide attempt and impulsivity assessment moderated the strength of the relation between impulsivity and attempts, with a large pooled effect size (OR=5.54, p<0.001) evident when the suicide attempt occurred within a month of behavioral impulsivity assessment. Studies of clinically significant NSSI temporally proximal to impulsivity assessment are needed. Longitudinal research is required to clarify the prognostic value of behavioral and cognitive impulsivity for short-term risk for self-harm.

Copyright © 2017 Elsevier Ltd. All rights reserved.

Language: en

Keywords

impulsivity; non-suicidal self-injury; suicidal ideation; suicide; suicide attempts