Jumping to conclusions and suicidal behavior in depression and psychosis

TY - JOUR

T1 - Jumping to conclusions and suicidal behavior in depression and psychosis

AU - Sastre-Buades, Aina

AU - Ochoa, Susana

AU - Lorente-Rovira, Esther

AU - Barajas, Ana

AU - Grasa, Eva

AU - López-Carrilero, Raquel

AU - Luengo, Ana

AU - Ruiz-Delgado, Isabel

AU - Cid, Jordi

AU - González-Higueras, Fermín

AU - Sánchez-Alonso, Sergio

AU - Baca-García, Enrique

AU - Barrigón, Maria L.

AU - Spanish Metacognition Study Group

AU - Moritz, S.

AU - Schilling, L.

N1 - Publisher Copyright: © 2021 Elsevier Ltd

PY - 2021/5

Y1 - 2021/5

N2 - Suicidal behavior (SB) involves an impairment in decision-making (DM). Jumping to conclusions bias (JTC), described as the tendency to make hasty decisions based on insufficient information, could be considered as analogous of impaired DM. However, the link between JTC and SB in psychosis and other diagnoses (e.g., depression) has never been studied. This study aims to explore the presence of JTC and SB in a sample comprising 121 patients with psychosis and 101 with depression. Sociodemographic and clinical data were collected, including history of SB and symptom-severity scores. JTC was assessed by the beads task, and patients who reached decisions with the second bead or before were considered to exhibit JTC. Age, gender, diagnosis, educational level, symptom severity, substance use, and SB were compared according to JTC presence. Variables found to be significantly different in this comparison were included in a multivariate analysis. JTC was more prevalent in patients with depression than with psychosis: 55.6% in an 85:15 ratio and 64.6% in a 60:40 ratio. When multivariate logistic regression was applied to study the influence of diagnosis (psychosis versus depression), age, and SB, only SB remained statistically significant (OR 2.05; 95% CI 0.99–4.22; p = 0.05). The population studied was assembled by grouping different samples from previous research, and we have not included control variables such as other clinical variables, neurocognitive measurements, or personality traits. JTC may be more closely linked to SB, as a transdiagnostic variable, rather than to a specific diagnosis.

AB - Suicidal behavior (SB) involves an impairment in decision-making (DM). Jumping to conclusions bias (JTC), described as the tendency to make hasty decisions based on insufficient information, could be considered as analogous of impaired DM. However, the link between JTC and SB in psychosis and other diagnoses (e.g., depression) has never been studied. This study aims to explore the presence of JTC and SB in a sample comprising 121 patients with psychosis and 101 with depression. Sociodemographic and clinical data were collected, including history of SB and symptom-severity scores. JTC was assessed by the beads task, and patients who reached decisions with the second bead or before were considered to exhibit JTC. Age, gender, diagnosis, educational level, symptom severity, substance use, and SB were compared according to JTC presence. Variables found to be significantly different in this comparison were included in a multivariate analysis. JTC was more prevalent in patients with depression than with psychosis: 55.6% in an 85:15 ratio and 64.6% in a 60:40 ratio. When multivariate logistic regression was applied to study the influence of diagnosis (psychosis versus depression), age, and SB, only SB remained statistically significant (OR 2.05; 95% CI 0.99–4.22; p = 0.05). The population studied was assembled by grouping different samples from previous research, and we have not included control variables such as other clinical variables, neurocognitive measurements, or personality traits. JTC may be more closely linked to SB, as a transdiagnostic variable, rather than to a specific diagnosis.

KW - Beads task

KW - Depression

KW - Jumping to conclusions

KW - Psychosis

KW - Suicidal behavior

UR - http://www.scopus.com/inward/record.url?scp=85105329372&partnerID=8YFLogxK

U2 - 10.1016/j.jpsychires.2021.03.024

DO - 10.1016/j.jpsychires.2021.03.024

M3 - SCORING: Journal article

C2 - 33812324

AN - SCOPUS:85105329372

VL - 137

SP - 514

EP - 520

JO - J PSYCHIATR RES

JF - J PSYCHIATR RES

SN - 0022-3956

ER -