Olié, EmilieCatanzaro, ThomasMalestroit, ManonGuija Villa, Julio AntonioGiner Jiménez, LucasCourtet, Philippe2025-06-182025-06-182023-09-09Olié, E., Catanzaro, T., Malestroit, M., Guija Villa, J.A., Giner Jiménez, L. y Courtet, P. (2023). The capacity to consent to treatment is altered in suicidal patients. Annals of General Psychiatry, 22 (1), 35. https://doi.org/10.1186/s12991-023-00459-w.1744-859Xhttps://hdl.handle.net/11441/174509Background Many patients with depression refuse treatment. Moreover, suicide attempters often display low perceived need of treatment and impaired decision-making. These observations raise questions about the capacity to treatment consent in depressed suicide attempters (SA). Methods In patients with current depressive episode (N = 33 SAs and N = 27 non-SAs), consent capacity was evalu ated with the MacArthur Competence Assessment Tool for Treatment (MacCAT-T), insight with the Beck Cognitive Insight Scale, and depression severity with the Beck Depression Inventory (BDI). Results The median BDI score in the whole sample (N = 60) was 21 [10;36], and was higher in SAs than non-SAs (27 [11;36] vs. 15 [10:33], p < 0.001). Consent capacity was impaired in 30% (appreciation), 53% (reasoning) and 60% (understanding) of all patients. MacCAT-T sub-scores were lower in SAs than non-SAs (understanding: 4.4 [2.35;5.8] vs. 5.3 [3.13;6]); appreciation: 3 [1;4] vs. 4 [2;4]); reasoning (4 [1;7] vs. 7 [3;8]), and ability to express a choice: 1 [0;2] vs. 2 [0;2]; all p < 0.001). In multivariate analyses, suicide attempt history and depression severity (but not insight) were negatively associated with MacCAT-T sub-scores. Conclusion More research is needed on the capacity to consent to treatment of patients with depression, particu larly suicidal individuals, to make informed choices about their treatment.application/pdf5 p.engAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/Capacity to consentDecision-making capacityMacCAT-TDepressionSuicide attemptinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccesshttps://doi.org/10.1186/s12991-023-00459-w