135719 20240614091947.0 doi 10.1016/j.neubiorev.2021.10.005 sideral 126783 ART-2021-126783 eng Sastre-Buades, A. Decision-making in suicidal behavior: A systematic review and meta-analysis 2021 Impaired decision-making (DM) is well-known in suicidal behavior (SB). We aimed to review the evidence on DM and its mediating factors in SB and perform a meta-analysis on DM assessed using the Iowa Gambling Task (IGT). We conducted a search on databases of papers published on DM and SB up to 2020: 46 studies were included in the systematic review, and 18 in the meta-analysis. For meta-analysis, we compared DM performance between suicide attempters (SAs) and patients (PCs) or healthy controls (HCs). The systematic review showed that SAs have greater difficulties in all DM domains. The meta-analysis found worse IGT performance among SAs in comparison with PCs and HCs. A meta-regression did not find differences for age, gender, psychiatric disorder, and clinical status. Our findings indicate that SAs exhibited deficits in DM under conditions of risk though not ambiguity. Worse DM was independent of age, gender, psychiatric disorder, and suggested that DM impairment could be considered a cognitive trait of suicidal vulnerability, a risk factor and an attribute of SAs. info:eu-repo/grantAgreement/ES/ESF-ERDF/PEJD-2018-PRE-SAL-8417 info:eu-repo/grantAgreement/ES/ISCIII/PI20-01555 info:eu-repo/grantAgreement/ES/MCIU/TEC2017-92552-EXP info:eu-repo/grantAgreement/ES/MICINN/RTI2018-099655-B-I00 info:eu-repo/grantAgreement/ES/MINECO/TEC2015-69868-C2-1-R info:eu-repo/semantics/closedAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 9.052 2021 NEUROSCIENCES 27 / 275 = 0.098 2021 Q1 T1 BEHAVIORAL SCIENCES 3 / 53 = 0.057 2021 Q1 T1 2.66 2021 Cognitive Neuroscience 2021 Q1 Behavioral Neuroscience 2021 Q1 12.8 2021 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Alacreu-Crespo, A. Universidad de Zaragoza (orcid)0000-0002-0633-2810 Courtet, P. Baca-Garcia, E. Barrigon, M.L. 4009 680 Universidad de Zaragoza Dpto. Psicología y Sociología Área Person.Eval.Trat.Psicoló. 131 (2021), 642-662 Neurosci. biobehav. rev. NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS 0149-7634 2949953 http://zaguan.unizar.es/record/135719/files/texto_completo.pdf Versión publicada 2246838 http://zaguan.unizar.es/record/135719/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:135719 articulos driver 2024-06-14-08:58:40 ARTICLE