A Study of Neuro-Cognition Among Single and Multiple Self Harm Attempters in Adult Population

BACKGROUND: Neurocognitive abilities are a catch-all term that refers to cognitive talents that facilitate perception, reasoning, action, and emotion generation and are believed to be associated with specific brain neuronal pathways and networks. Because It is considered that abilities operate as a mediator between ideas and actions, they may be especially well adapted to explaining the path of suicidal thoughts to acts of suicide. Objectives: To compare the pattern of neuro cognition in single self-harm attempters and multiple self-harm attempters in adult population. METHODS: A cross-sectional study conducted at Department of Psychiatry and Drug De-addiction Centre on Participants with self-harm attempt seeking consultation from Psychiatry Department and Drug De-addiction Centre either directly or after referral. After institutional ethics clearance participants consent taken and a semi-structured proforma was filled. Socio-demographic and clinical data were obtained CTMT used for assessing neurocoginition then appropriate statistics applied Manova and ANOVA. RESULT: The mean value for taril time is less in single self harm attempters then multiple self harm attempters for eg the time score of trail 1 in SSA was 51.1sec where as 60.2 sec in MSA.Composite index high means good performance.Among from single harm attempters The mean CI score was (32.83) compared with Multi harm attempters (29.01). CONCLUSION: A significant comparative difference was observed in selective attention, cognitive flexibility and inhibition in relation to the multiple self harm attempters and single self harm attempters.This adds to the evidence of frontal lobe dysfunction Therefore A larger study with a bigger sample is needed to replicate cut offs for this test in the Indian population so that these cut offs can be generalized