E-ISSN 2636-834X
 

Original Research 


The Relationship Between Suicidal Behavior and Metacognitive Characteristics in Male Patients with Antisocial Personality Disorder

Halil Cankaya, Soner Cakmak, Lut Tamam, Zeynep Namli, Mehmet Emin Demirkol, Mahmut Onur Karaytug.

Abstract
Objective: Antisocial personality disorder (ASPD) is a mental disorder with impaired psychosocial functioning and carries a high risk for suicide. Previous studies have investigated the role of metacognitive considerations in individual behavioral differences and provided ample evidence of significant relationships between emotional processes, cognition, metacognitive beliefs, and behavior. A close relationship between metacognitive functions and personality disorders was suggested. This study investigated the relationship between the metacognitive characteristics of male patients with ASPD and suicidal behavior.
Method: We included seventy-four patients diagnosed with ASPD according to DSM-5 criteria, who applied to Çukurova University Faculty of Medicine Balcalı Hospital, Department of Psychiatry, as the patient group and 74 healthy volunteers as the control group. Sociodemographic data form, Metacognition Questionnaire (MCQ), Beck Suicidal Ideation Scale (BSIS), Suicidal Behaviors Questionnaire (SBQ), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) were administered to the participants.
Results: The control and ASPD groups were similar in terms of age, years of education, educational and marital status, and place of residence (p>0.05 for each). The MCQ and its subscales, BSIS, SBQ, BDI, and BAI scale scores, were significantly higher in the patient group (p<0.05 for each). Patients who have previously attempted suicide have significantly higher MCQ- uncontrollability and danger (p=0.028), MCQ- need to control thoughts subscales (p=0.016), and BSIS, SBS, BDI, BAI (p<0.001 for each) mean scores than those who have not attempted suicide. There was a positive correlation between SBQ and MCQ-cognitive confidence (p=0.04) and MCQ- need to control thoughts (p=0.01) subscales in the patient group.
Conclusions: Metacognitive beliefs may be associated with the severity of suicidal behavior, depression, and anxiety symptoms in male patients with ASPD. The negative metacognitive functions, especially beliefs about the need to control thoughts, may help determine the risk of suicide in individuals with ASPD, and metacognitive therapy methods may be beneficial for those patients.

Key words: antisocial personality disorder, metacognition, suicide


 
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How to Cite this Article
Pubmed Style

Cankaya H, Cakmak S, Tamam L, Namli Z, Demirkol ME, Karaytug MO. The Relationship Between Suicidal Behavior and Metacognitive Characteristics in Male Patients with Antisocial Personality Disorder. PBS. 2022; 12(4): 188-196. doi:10.5455/PBS.20220625091308


Web Style

Cankaya H, Cakmak S, Tamam L, Namli Z, Demirkol ME, Karaytug MO. The Relationship Between Suicidal Behavior and Metacognitive Characteristics in Male Patients with Antisocial Personality Disorder. https://www.pbsciences.org/?mno=68901 [Access: December 28, 2022]. doi:10.5455/PBS.20220625091308


AMA (American Medical Association) Style

Cankaya H, Cakmak S, Tamam L, Namli Z, Demirkol ME, Karaytug MO. The Relationship Between Suicidal Behavior and Metacognitive Characteristics in Male Patients with Antisocial Personality Disorder. PBS. 2022; 12(4): 188-196. doi:10.5455/PBS.20220625091308



Vancouver/ICMJE Style

Cankaya H, Cakmak S, Tamam L, Namli Z, Demirkol ME, Karaytug MO. The Relationship Between Suicidal Behavior and Metacognitive Characteristics in Male Patients with Antisocial Personality Disorder. PBS. (2022), [cited December 28, 2022]; 12(4): 188-196. doi:10.5455/PBS.20220625091308



Harvard Style

Cankaya, H., Cakmak, . S., Tamam, . L., Namli, . Z., Demirkol, . M. E. & Karaytug, . M. O. (2022) The Relationship Between Suicidal Behavior and Metacognitive Characteristics in Male Patients with Antisocial Personality Disorder. PBS, 12 (4), 188-196. doi:10.5455/PBS.20220625091308



Turabian Style

Cankaya, Halil, Soner Cakmak, Lut Tamam, Zeynep Namli, Mehmet Emin Demirkol, and Mahmut Onur Karaytug. 2022. The Relationship Between Suicidal Behavior and Metacognitive Characteristics in Male Patients with Antisocial Personality Disorder. Psychiatry and Behavioral Sciences, 12 (4), 188-196. doi:10.5455/PBS.20220625091308



Chicago Style

Cankaya, Halil, Soner Cakmak, Lut Tamam, Zeynep Namli, Mehmet Emin Demirkol, and Mahmut Onur Karaytug. "The Relationship Between Suicidal Behavior and Metacognitive Characteristics in Male Patients with Antisocial Personality Disorder." Psychiatry and Behavioral Sciences 12 (2022), 188-196. doi:10.5455/PBS.20220625091308



MLA (The Modern Language Association) Style

Cankaya, Halil, Soner Cakmak, Lut Tamam, Zeynep Namli, Mehmet Emin Demirkol, and Mahmut Onur Karaytug. "The Relationship Between Suicidal Behavior and Metacognitive Characteristics in Male Patients with Antisocial Personality Disorder." Psychiatry and Behavioral Sciences 12.4 (2022), 188-196. Print. doi:10.5455/PBS.20220625091308



APA (American Psychological Association) Style

Cankaya, H., Cakmak, . S., Tamam, . L., Namli, . Z., Demirkol, . M. E. & Karaytug, . M. O. (2022) The Relationship Between Suicidal Behavior and Metacognitive Characteristics in Male Patients with Antisocial Personality Disorder. Psychiatry and Behavioral Sciences, 12 (4), 188-196. doi:10.5455/PBS.20220625091308