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Lisa M. Horowitz and Audrey Thurm are the co-first authors.
Little is known about suicidal ideation in youth with autism spectrum disorder (ASD), making it difficult to identify those at heightened risk. This study describes the prevalence of thoughts about death and suicide in 107 verbal youth with ASD with non-verbal IQ >55, assessed during inpatient psychiatric admission. Per parent report, 22% of youth with ASD had several day periods when they talked about death or suicide “often,” or “very often.” Clinical correlates included the presence of a comorbid mood (OR 2.71, 95% CI 1.12–6.55) or anxiety disorder (OR 2.32, 95% CI 1.10–4.93). The results suggest a need for developmentally appropriate suicide risk screening measures in ASD. Reliable detection of suicidal thoughts in this high-risk population will inform suicide prevention strategies.
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American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association. CrossRef
Cassidy, S., Bradley, P., Robinson, J., Allison, C., McHugh, M., & Baron-Cohen, S. (2014). Suicidal ideation and suicide plans or attempts in adults with Asperger’s syndrome attending a specialist diagnostic clinic: A clinical cohort study. Lancet Psychiatry, 1(2), 142–147. doi: 10.1016/s2215-0366(14)70248-2. CrossRefPubMed
Centers for Disease Control and Prevention. (2015). Web-based injury statistics query and reporting system. National Center for Injury Prevention and Control, CDC. Retrieved from http://www.cdc.gov/injury/wisqars/index.html.
Gadow, K. D., & Sprafkin, J. (2013) Child and adolescent symptom inventory–4R. Stony Brook, NY: Checkmate Plus.
Horowitz, L. M., Bridge, J. A., Teach, S. J., Ballard, E., Klima, J., Rosenstein, D. L., … Pao, M. (2012). Ask Suicide-Screening Questions (ASQ): A brief instrument for the pediatric emergency department. Archives of Pediatrics and Adolescent Medicine, 166(12), 1170–1176. doi: 10.1001/archpediatrics.2012.1276. CrossRefPubMed
Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule–2nd edition (ADOS-2). Los Angeles: Western Psychological Corporation.
Mandell, D. S., Walrath, C. M., Manteuffel, B., Sgro, G., & Pinto-Martin, J. A. (2005). The prevalence and correlates of abuse among children with autism served in comprehensive community-based mental health settings. Child Abuse and Neglect, 29(12), 1359–1372. doi: 10.1016/j.chiabu.2005.06.006. CrossRefPubMed
Mazefsky, C. A., Kao, J., & Oswald, D. P. (2011). Preliminary evidence suggesting caution in the use of psychiatric self-report measures with adolescents with high-functioning autism spectrum disorders. Research in Autism Spectrum Disorders, 5(1), 164–174. doi: 10.1016/j.rasd.2010.03.006. CrossRefPubMedPubMedCentral
Mishara, B. L. (1999). Conceptions of death and suicide in children ages 6–12 and their implications for suicide prevention. Suicide and Life-Threatening Behavior, 29(2), 105–118. PubMed
Office of the Surgeon General & National Action Alliance for Suicide Prevention (2012). Publications and Reports of the Surgeon General 2012 National Strategy for Suicide Prevention: Goals and Objectives for Action: A Report of the U.S. Surgeon General and of the National Action Alliance for Suicide Prevention. Washington (DC): US Department of Health & Human Services (US).
Roid, G. H., Miller, L., Pomplun, M., & Koch, C. (2013). Leiter international performance scale, third edition (Leiter-3). Torrance, CA: Western Psychological Services.
Rutter, M., Bailey, A., & Lord, C. (2003). The social communication questionnaire. Los Angeles: Western Psychological Services.
Shtayermman, O. (2007). Peer victimization in adolescents and young adults diagnosed with Asperger’s Syndrome: A link to depressive symptomatology, anxiety symptomatology and suicidal ideation. Issues in Comprehensive Pediatric Nursing, 30(3), 87–107. doi: 10.1080/01460860701525089. CrossRefPubMed
Siegel, M., Doyle, K., Chemelski, B., Payne, D., Ellsworth, B., Harmon, J., … Lubetsky, M. (2012). Specialized inpatient psychiatry units for children with autism and developmental disorders: A United States survey. Journal of Autism and Developmental Disorders, 42(9), 1863–1869. doi: 10.1007/s10803-011-1426-3. CrossRefPubMed
Sparrow, S., S., Cicchetti, D. V., &, Balla, D. A. (2005). Vineland adaptive behavior scales (2nd ed.). Circle Pines, MN: AGS Publishing.
Storch, E. A., Sulkowski, M. L., Nadeau, J., Lewin, A. B., Arnold, E. B., Mutch, P. J., … Murphy, T. K. (2013). The phenomenology and clinical correlates of suicidal thoughts and behaviors in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43(10), 2450–2459. doi: 10.1007/s10803-013-1795-x. CrossRefPubMed
The Joint Commission. (2016). Detecting and treating suicide ideation in all settings. Retrieved from https://www.jointcommission.org/assets/1/18/SEA_56_Suicide.pdf.
World Health Organization. (2014). Preventing suicide: A global imperative.
- Talking About Death or Suicide: Prevalence and Clinical Correlates in Youth with Autism Spectrum Disorder in the Psychiatric Inpatient Setting
Lisa M. Horowitz
Jeffrey A. Bridge
for the Autism and Developmental Disorders Inpatient Research Collaborative (ADDIRC)
- Springer US
- Journal of Autism and Developmental Disorders
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432