CommentSuicide risk in adults with Asperger's syndrome
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2021, Research in Autism Spectrum DisordersCitation Excerpt :Frequent victimisation (i.e. one or more incidents per week) of autistic children is associated with mental health problems including higher levels of anxiety and self-harm (Cappadocia, Weiss, & Pepler, 2012). Autistic individuals are also at greater risk of depression, self-harm and suicidal ideation (Hirvikoski et al., 2016; Raja, 2014). Loneliness has been identified as a potential contributor to depression and self-harm with suggestions that supporting autistic people to feel connected to others may be beneficial to improving their mental health (Hedley, Uljarević, Wilmot, Richdale, & Dissanayake, 2018).
Measurement properties of tools used to assess suicidality in autistic and general population adults: A systematic review
2018, Clinical Psychology ReviewCitation Excerpt :For example, many suicide risk assessments enquire about communication of suicide intent to others, which is taken to indicate increased suicide risk in the general population. However, difficulties in communication, and increased chance of being isolated both in terms of access to health services (Raja, 2014) and social connections (Orsmond, Shattuck, Cooper, Sterzing, & Anderson, 2013) among autistic people, may lead to lower endorsement of such items while not necessarily indicating reduced suicide risk. Social isolation and loneliness in autistic people and people with high autistic traits are associated with increased risk of suicidality (Hedley, Uljarević, Wilmot, Richdale, & Dissanayake, 2018; Pelton & Cassidy, 2017), as is lack of tangible social support (Hedley, Uljarević, Wilmot, Richdale, & Dissanayake, 2017).
Understanding depression and thoughts of self-harm in autism: A potential mechanism involving loneliness
2018, Research in Autism Spectrum DisordersCitation Excerpt :Depression, with reported lifetime rates over 50% (Hofvander et al., 2009), is one of the most prevalent psychiatric comorbidities in ASD (Sterling, Dawson, Estes, & Greenson, 2008) and, furthermore, is a significant risk factor for suicidal behavior including suicidal ideation (thoughts about taking one’s life), plans, attempts and suicide (Slade et al., 2009). Research into suicidal behavior in ASD has only recently begun to emerge (Raja, 2014); however, the presence of suicidal behavior may be underestimated and significantly higher than in the general population. Cassidy et al. (2014) found that 66% of recently diagnosed adults had thought about suicide, and 35% had made plans or attempts.
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