Impulsivity in fatal suicide behaviour: A systematic review and meta-analysis of psychological autopsy studies

Sanz-Gómez, Sergio ; Vera-Varela, Constanza ; Alacreu-Crespo, Adrián (Universidad de Zaragoza) ; Perea-González, María Isabel ; Guija, Julio Antonio ; Giner, Lucas

Resumen: Our aim is to review and perform a meta-analysis on the role of impulsivity in fatal suicide behaviour. We included papers who used psychological autopsy methodology, assessed adult death by suicide, and included assessment of impulsivity. We excluded papers about assisted suicide, terrorist suicide, or other cause of death other than suicide or postmortem diagnosis made only from medical records or database. 97 articles were identified. 33 were included in the systematic review and nine in the meta-analysis. We found that people who die by suicide with high impulsivity are associated with younger age, substance abuse, and low intention to die, whereas those with low impulsivity were associated with older age, depression, schizophrenia, high intention to die and low social support. In the meta-analysis, suicide cases had higher impulsivity scores than living controls (Hedges' g = 0.59, 95 % CI [0.28, 0.89], p=.002). However, studies showed heterogeneity (Q = 90.86, p<.001, I2=89.0 %). Impulsivity-aggressiveness interaction was assessed through meta-regression (β=0.447, p=.045). Individuals with high impulsivity would be exposed to a higher risk of fatal suicide behaviour, aggressiveness would play a mediating role. People who die by suicide with high and low impulsivity display distinct characteristics, which may reflect different endophenotypes leading to suicide by different pathways.

Idioma: Inglés

DOI: 10.1016/j.psychres.2024.115952

Año: 2024

Publicado en: PSYCHIATRY RESEARCH 337 (2024), 115952 [12 pp.]
ISSN: 0165-1781

Factor impacto JCR: 3.9 (2024)

Categ. JCR: PSYCHIATRY rank: 55 / 288 = 0.191 (2024) - Q1 - T1
Categ. JCR: PSYCHIATRY rank: 55 / 288 = 0.191 (2024) - Q1 - T1

Factor impacto SCIMAGO: 1.606 - Psychiatry and Mental Health (Q1) - Biological Psychiatry (Q1)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Person.Eval.Trat.Psicoló. (Dpto. Psicología y Sociología)