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January 1, 2024NeuroImage ClinicalOpen Access

Youth with major depressive disorder and past suicide attempts exhibited the poorest decision-making performance and blunted ΔFN compared to those without attempts and healthy controls.

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Why the study?

There is limited understanding of how neural activity is modified during decision-making in youth with major depressive disorder who have attempted suicide.

Are neural responses during decision-making altered in youth with major depressive disorder and past suicide attempts compared to those without attempts and healthy controls?

Population

79 individuals aged 16-25 with MDD (39 suicide attempters, 40 non-attempters) and 40 matched healthy controls

Comparison

MDD suicide attempters vs MDD non-attempters vs healthy controls

Key result

Youth with major depressive disorder and past suicide attempts exhibited the poorest decision-making performance and blunted ΔFN compared to those without attempts and healthy controls.

Authors

CBCiqing BaoQZQiaoyang ZhangCHChen He

Discussion

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Overview

Blunted ΔFN during decision-making in depressed youth with suicide attempts is hypothesis-generating; leaves open EEG markers for risk stratification.

Study Design

Type

Cross-Sectional (n=119)

Structured PICO

Are neural responses during decision-making altered in youth with major depressive disorder and past suicide attempts compared to those without attempts and healthy controls?

P
Population
119 individuals aged 16-25, including 79 with major depressive disorder (39 with past suicide attempts and 40 without) and 40 healthy controls, evaluated during a decision-making task.
E
Exposure
Iowa Gambling Task (IGT) with Electroencephalography (EEG) recording
C
Comparator
Healthy controls and MDD patients without suicide attempts
O
Outcome
Feedback processing measured by feedback-related negativity (FRN), ΔFN (FRN-loss minus FRN-gain), and P300surrogate

Youth with MDD and past suicide attempts exhibit specific neural deficits in decision-making, characterized by blunted feedback evaluation and altered sensitivity to gains and losses.

Cite This Study

Bao et al. (2024) conducted a cross-sectional in Major depressive disorder with and without past suicide attempts (n=119). Past suicide attempts vs. Major depressive disorder without suicide attempts and healthy controls was evaluated on Feedback processing measured by feedback-related negativity (FRN), ΔFN, and P300 during the Iowa Gambling Task. Youth with major depressive disorder and past suicide attempts exhibited the poorest decision-making performance and blunted ΔFN compared to those without attempts and healthy controls.

synapsesocial.com/papers/6a9648cff69cd3f69201f608https://doi.org/10.1016/j.nicl.2024.103667
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Risk, reward, and suicide: how impulsivity and loss aversion influence decision-making in individuals who have attempted suicide2026
  2. 2Neuroimaging insights into recent suicide attempters utilizing the raven task2025
  3. 3Decision-making in suicidal acute psychiatric patients2024
  4. 4Neural correlates of decision making and executive function in suicidal thoughts and behaviors2025
  5. 5Exploring Risky Decision-Making in Depressed Patients with High Aggression: An Event-Related Potential Study2025