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Journal Article

Citation

Tsafrir S, Chubarov E, Shoval G, Levi M, Nahshoni E, Ratmansky M, Weizman A, Zalsman G. Compr. Psychiatry 2014; 55(2): 370-373.

Affiliation

Child and Adolescent Division, Geha Mental Health Center, Petah Tikva, Israel.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1016/j.comppsych.2013.08.009

PMID

24262121

Abstract

OBJECTIVE: Establishing a psychiatric diagnosis and assessing suicidal tendencies is often a challenging task particularly in the early stages of an illness. Cognitive impairments characterize different psychiatric entities, but there is no known specific cognitive deficit profile that could help the clinician in achieving the diagnostic task. This study's aim was to establish a cognitive profile and test its ability to differentiate psychiatric inpatient subgroups, in terms of suicidal risk and diagnosis. The sample constituted of 76 consecutive admissions to the psychiatric adolescent day-care unit, who were admitted for any diagnosis. Assessment included full psychiatric interview and cognitive evaluation, using the COGNISTAT test. RESULTS: Of the 76 participants, 58% reported having suicidal ideation and 29% reported a prior attempted suicide. Subjects who had a prior suicide attempt had better orientation and attention scores in the COGNISTAT. Other cognitive domains did not differentiate between groups or diagnoses. CONCLUSION: These preliminary results suggest a significant association between specific cognitive characteristics and suicidal behavior in adolescents. Those cognitive characteristics might prove clinically useful in the assessment of suicide risk. Further study is needed to establish this association and generalize the conclusion to different populations.


Language: en

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