San Francisco Chronicle

Word tests may be able to predict suicide try

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When a person’s distress, depression or discourage­ment appears to have taken a sharp turn for the worse, it’s time to ask him or her a weighty question: Are you thinking of harming yourself ?

If only the answer were a better guide. One study has found that nearly 80 percent of patients who took their own lives denied they were contemplat­ing suicide in their last contact with a mental health care profession­al. Friends and family suffer the guilt and anguish of not having divined a loved one’s intentions, but mental health profession­als rarely fare much better at doing so.

But what if the brain’s response to a series of questions — never the question, but a more indirect probe of a person’s feelings — yielded a more accurate signal? New research suggests it can. In a study published Monday in the journal Nature Human Behavior, researcher­s found that patterns of brain activation in response to a set of written words could reliably distinguis­h between young adults who had contemplat­ed suicide and young, healthy control subjects. These words included ones related to death and to both positive and negative emotions.

A further exercise — gauging specific brain responses to clusters of highly emotional words — made an even finer distinctio­n: between subjects who had a history of suicide attempts and those who had pondered such a step but never acted on it.

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