Decision-Making in Suicidal Behavior: The Protective Role of Loss Aversion

Autor: Gergö Hadlaczky, Sebastian Hökby, Anahit Mkrtchian, Danuta Wasserman, Judit Balazs, Núria Machín, Marco Sarchiapone, Merike Sisask, Vladimir Carli
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Frontiers in Psychiatry, Vol 9 (2018)
Druh dokumentu: article
ISSN: 1664-0640
DOI: 10.3389/fpsyt.2018.00116
Popis: BackgroundLoss aversion is a central and well operationalized trait behavior that describes the tendency for humans to strongly prefer avoiding losses to making equivalent gains. Human decision-making is thus biased toward safer choices.AimThe aim of this study was to explore the relationship between loss aversion and suicidal behavior in a large cohort of adolescents recruited in 30 schools of seven European countries for a longitudinal study (Current Controlled Trials ISRCTN65120704). We hypothesized that individuals with higher loss aversion would be less likely to attempt suicide.MethodsA mixed monetary gamble task was used to generate loss aversion scores for each participant. Logistic regression was used to estimate the cross-sectional association between loss aversion and life-time suicide attempts in the baseline sample (N = 2,158; 156 attempters), and incident attempts were predicted in a 4-month prospective model (N = 1,763; 75 attempters). Multiple regression was used to estimate the association between loss aversion and suicidal ideation.ResultsLoss aversion was a significant predictor of attempted suicide in both the cross-sectional (OR = 0.79; P = 0.005) and prospective analysis (OR = 0.81; P = 0.040), adjusting for depression, anxiety, stress, and sex. The correlation between pre and post measures of loss aversion was r = 0.52 (P
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