{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:35:05Z","timestamp":1786649705478,"version":"build-2736575974"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9]]},"abstract":"\n Background:<\/jats:title>\n Suicide is a major global public health concern, particularly among individuals with major depressive disorder (MDD). While depression is a well-known risk factor, not all patients with MDD attempt suicide, indicating the need to explore additional contributors such as impulsivity.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n To assess the role of impulsivity in suicidal behavior among patients with MDD, comparing those with and without a history of suicide attempts.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n This cross-sectional study included 150 patients diagnosed with MDD at a tertiary care center, divided into two groups: those with (\n n<\/jats:italic>\n = 73) and without (\n n<\/jats:italic>\n = 77) suicide attempts. Psychiatric assessments included the Hamilton Depression Rating Scale (HAM-D), Suicide Behavior Questionnaire-Revised (SBQ-R), and Barratt Impulsiveness Scale-11 (BIS-11), which evaluates three domains of impulsivity: attentional, motor, and non-planning. Statistical analyses included Mann-Whitney U tests, Spearman\u2019s rank correlations, and Pearson\u2019s correlations.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Patients with suicide attempts had significantly higher SBQ-R (mean = 12.38) and BIS-11 scores (mean = 85.03) compared to non-attempters (SBQ-R mean = 8.22; BIS-11 mean = 61.34;\n P<\/jats:italic>\n < 0.001). No significant difference was found in depression severity (HAM-D scores). Among attempters, suicidality was strongly correlated with impulsivity (\uf072 = 0.423,\n P<\/jats:italic>\n < 0.001) and moderately with depression (\n \uf072<\/jats:italic>\n = 0.336,\n P<\/jats:italic>\n = 0.004). Attentional (\n r<\/jats:italic>\n = 0.42,\n P<\/jats:italic>\n = 0.001) and motor impulsivity (\n r<\/jats:italic>\n = 0.31,\n P<\/jats:italic>\n = 0.015) were significantly associated with suicide risk.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Impulsivity, particularly attentional and motor domains, is a significant independent predictor of suicide attempts in patients with MDD, beyond depression severity. Incorporating impulsivity assessment into routine psychiatric evaluations may enhance suicide risk prediction and inform targeted interventions.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ipj.ipj_117_25","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T12:01:46Z","timestamp":1759492906000},"page":"517-521","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The role of impulsivity in suicide attempts among patients with major depressive disorder: A cross-sectional study"],"prefix":"10.4103","volume":"34","author":[{"given":"Simran","family":"Sandhu","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Mahatma Gandhi Memorial Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koustub R.","family":"Bagul","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Mahatma Gandhi Memorial Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richa","family":"Choudhary","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Mahatma Gandhi Memorial Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akanksha","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Mahatma Gandhi Memorial Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. 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