Cohort study examines mentalizing and its impact on suicide reattempt in at-risk patients, suggesting new insights.
Introduction Hypomentalizing may contribute to heightened social withdrawal and it has been related with an increased risk of and suicide attempt (SA). Although certain studies have identified a relationship between hypomentalizing and suicidal behavior, research on follow-up remains limited. Objectives This study aims to examine the relationship between suicide reattempt and the progression of mentalizing within 12-months. Methods Our study included a cohort of 1,374 patients who committed a SA. We conducted assessments at the baseline and at a 12-months follow-up. We measured mentalizing using the RFQ-8, and evaluations of suicidal ideation and behavior employing the CSRSS. Demographics, clinical characteristics, and mentalizing were subjected to comparative analysis using the T-student and Chi-square tests. Results A total of 310 participants committed a suicide reattempt in the follow-up period. Our results showed that reattempt group were significantly younger, more presence of female gender, suicidal ideation and planning, more previous SA, and higher hypomentalizing means. Image 1: Conclusions Social cognition may play a crucial role in the suicide reattempt risk. Future research on the association between social cognition and suicidal behavior could help elucidate the associated factors and identify potential therapeutic actions. Disclosure of Interest None Declared
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Andreo-Jover et al. (2025) studied this question.
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