Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatr. Sep 22, 2015; 5(3): 255-259
Published online Sep 22, 2015. doi: 10.5498/wjp.v5.i3.255
On the role of impulsivity and decision-making in suicidal behavior
Yari Gvion, Yossi Levi-Belz, Gergö Hadlaczky, Alan Apter
Yari Gvion, Department of Clinical Psychology, Bar Ilan University, Ramat-Gan 52900, Israel
Yari Gvion, Department of Clinical Psychology, Tel-Aviv Jaffa Academic Center, Tel Aviv 6199903, Israel
Yari Gvion, Interdisciplinary Center, Herzliya 46000, Israel
Yossi Levi-Belz, Department of Behavioral Sciences, Ruppin Academic Center, Emek Hefer 40250, Israel
Gergö Hadlaczky, National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institutet, SE-171 77 Stockholm, Sweden
Alan Apter, Feinberg Child Study Center, Schneider Children’s Medical Center of Israel, Petah Tikva 49202, Israel
Author contributions: All the authors equally contributed to this work.
Conflict-of-interest statement: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Yari Gvion, PhD, Department of Clinical Psychology, Bar Ilan University, Ramat-Gan 52900, Israel. yari@kadi.co.il
Telephone: +972-52-2340520
Received: March 10, 2015
Peer-review started: March 12, 2015
First decision: May 13, 2015
Revised: June 30, 2015
Accepted: September 1, 2015
Article in press: September 2, 2015
Published online: September 22, 2015
Core Tip

Core tip: Impulsivity is a long-known risk factor for suicide attempts. Impulsivity involves a failure of higher-order control, including decision-making. Thus, decision-making may be particularly pertinent to suicidal behavior. Deficits in decision-making may impair people’s ability to resolve problems and dilemmas and thus create an accumulation of stressors leading to further pain. These may give rise to risky choices such as self- harm or suicide behaviors.