ABSTRACT
BACKGROUND: The aim of the study was to crystallize the nature of relationships between impulsivity, aggression, and suicidality. We reviewed studies of adults with published, psychometric measures of impulsivity and aggression, and measures of suicidality. METHODS: Our primary data source was Web of Science (from inception to 31st December 2021). Quality of articles was assessed using a Joanna Briggs Appraisal Tool and publication bias using Trim and Fill. We synthesised results using random effects meta-analyses and explored moderation by measure of impulsivity, aggression, and suicidality, and population. FINDINGS: 77 studies were included in our analysis. We found weak positive relationships between impulsivity (r = 0·19 [95% CI: 0·15-0·22]), aggression (0·23 ([0·17, 0·29]), and impulsive aggression (0·16 [0·1, 0·22]) with suicidality. Heterogeneity was significant and only partially explained by moderators. Limitations included the lack of studies which assess impulsivity or aggression proximal to suicidality. INTERPRETATION: Given small effect sizes and significant heterogeneity, the study suggests that additional studies are needed in the field to analyze the relation between impulsivity and aggression with suicidality. FUNDING: None.
ABSTRACT
The main aim of this study was to uncover any evidence for communicative engagement in foetuses. Taking into consideration the continuity of development pre- and postnatally, the social responsiveness of the newborn baby and the development of sensorimotor competence in the foetus, it is plausible to assume that communicative readiness develops before birth. During the interactive and noninteractive applications of three conditions: the mother's voice, the touch of her abdomen and a control condition, foetuses' (N = 12, 2-33 gestational weeks) behaviours were recorded through 4D scanning using Voluson S10 ultrasound and coded frame-by-frame. Foetuses displayed differential right-hand self-touch behaviours in response to the mother's touch. There was a reduction of this movement when the mother was touching her abdomen, compared to when the mother was talking or during the baseline conditions. There was also a reduction in right-hand touch responses during the interactive touch condition but not during interactive talk condition. A similar result was found with regards to right-hand face touch responses. Foetuses displayed a longer duration of mouth opening in the interactive talk condition compared to the noninteractive talk condition. During the first 60 s, foetuses showed a significant increase in sucking behaviours during the interactive touch condition, compared to all other conditions. This is the first study to compare interactive versus noninteractive engagement of the foetus. The findings of this study suggest that foetuses in the third trimester discriminate between interactive and non-interactive external stimuli and respond to contingent interactions.
