Decision-making process and negative childhood experience in adolescents with autoagression

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Abstract

BACKGROUND. Analysis of the literature indicates the need for a detailed study of the features of the decision-making process, adverse experiences in childhood, the severity of depression in adolescents with truly suicidal and non-suicidal self-injurious behavior.

AIM. To determine the level of depression, unfavorable childhood experience, the characteristics of the process of forming preferences, the choice of executive actions and the assessment of results in conditions of uncertainty in adolescents with suicidal attempts and non-suicidal self-injurious behavior.

MATERIAL AND METHODS. From September 2019 to May 2020, clinical and experimental psychological methods (semi-structured interview, A. Beck Depression Scale, Columbian Suicidal Intentions Severity Scale, Adverse Childhood Experience Questionnaire, Iowa Gambling Task) examined adolescents from14 to 17 years: 30 persons with suicidal self-harm (mean age 16.1 years, 26 girls, 4 boys) and 32 persons with non-suicidal self-harm (mean age 16.3 years, 26 girls, 6 boys). Statistical processing was carried out using the Kolmogorov–Smirnov and Liliefors tests, the Leuven test, the Mann–Whitney U-test, and the two-sided Fisher test.

RESULTS. All examined patients showed manifestations of depression of different levels. In the group with suicidal attempts, the manifestations of depression were significantly more pronounced, and they also had significantly more adverse childhood experience factors. The decision-making process is more effective in individuals with non-suicidal self-injurious behavior than in the group with suicidal auto-aggression (although the difference does not reach statistical significance).

CONCLUSIONS. Thus, we have determined the level of depression, unfavorable childhood experience, peculiarities of the process of formation of preferences, choice of executive actions and assessment of results in conditions of uncertainty in adolescents with suicidal attempts and non-suicidal self-injurious behavior.

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About the authors

Rozaliya I. Antokhina

Orenburg State Medical University

Author for correspondence.
Email: rozaliana8@mail.ru
ORCID iD: 0000-0003-1761-1337
SPIN-code: 2041-8844

Senior Lecturer at the Department of Clinical Psychology and Psychotherapy

Russian Federation, 6, Sovetskaya street, Orenburg, Russia, 460000

Anna V. Vasilieva

The St.Petersburg Psychoneurological Research Institute bearing named by V.M. Bekhterev

Email: annavdoc@yahoo.com
ORCID iD: 0000-0002-5116-836X
SPIN-code: 2406-9046

Dr. Sci. (Med.), Professor

Russian Federation, 3, Bekhterev St., 192019 Saint Petersburg; 191015, Russian Federation, Saint-Petersburg, Kirochnaya street, 41

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