Untended wounds: Non-suicidal self-injury in adults with autism spectrum disorder
Untended wounds: Non-suicidal self-injury in adults with autism spectrum disorder
复制标题
DOI：
10.1177/1362361316644731
复制
发表时间：
2017-05-01
期刊：
影响因子：
5.2
通讯作者：
White, Susan W.
中科院分区：
文献类型：
--
作者：
Maddox, Brenna B.;Trubanova, Andrea;White, Susan W.
最近的研究已经考察了社区和临床样本中的非自杀性自我伤害，但还没有发表关于自闭症谱系障碍个体的非自杀性自我伤害的研究。这种缺乏研究令人惊讶，因为患有自闭症谱系障碍的人非自杀性自我伤害的风险因素比例很高，包括抑郁和糟糕的情绪调节技能。通过一项在线调查，我们研究了42例自闭症谱系障碍患者的非自杀自残方式、频率、严重程度、功能和初始动机。我们还将他们的非自杀性自残特征与没有自闭症谱系障碍的性别匹配的成年人组(n=42)进行了比较。在患有自闭症谱系障碍的参与者中，50%的人报告了非自杀性自残史。这一比例高于之前报道的大学生、成人社区样本和患有自闭症谱系障碍的青少年的非自杀自伤率，这表明患有自闭症谱系障碍的成年人从事非自杀自残的风险增加。与患有自闭症谱系障碍的男性相比，患有自闭症谱系障碍的女性更有可能支持非自杀的自我伤害。对于患有自闭症谱系障碍的参与者来说，非自杀性自伤史与目前的抑郁或情绪失调无关。自闭症谱系障碍成人的非自杀自残特征与非自闭症谱系障碍成人的非自杀自残特征相似。这些初步发现突显了提高认识和进一步研究自闭症谱系障碍中非自杀性自我伤害的必要性。
Recent studies have examined non-suicidal self-injury in community and clinical samples, but there is no published research on non-suicidal self-injury in individuals with autism spectrum disorder. This lack of research is surprising, since individuals with autism spectrum disorder have high rates of risk factors for non-suicidal self-injury, including depression and poor emotion regulation skills. Using an online survey, we examined non-suicidal self-injury methods, frequency, severity, functions, and initial motivations in adults with autism spectrum disorder (n=42). We also compared their non-suicidal self-injury characteristics to those of a gender-matched group of adults without autism spectrum disorder (n=42). Of the participants with autism spectrum disorder, 50% reported a history of non-suicidal self-injury. This proportion is higher than non-suicidal self-injury rates previously reported for college students, adult community samples, and adolescents with autism spectrum disorder, which suggests that adults with autism spectrum disorder have increased risk for engaging in non-suicidal self-injury. Women with autism spectrum disorder were significantly more likely to endorse non-suicidal self-injury, relative to men with autism spectrum disorder. A history of non-suicidal self-injury was not related to current depression or emotion dysregulation for the participants with autism spectrum disorder. Non-suicidal self-injury characteristics among the adults with autism spectrum disorder were similar to non-suicidal self-injury in adults without autism spectrum disorder. These preliminary findings highlight the need for increased awareness and further research about non-suicidal self-injury within autism spectrum disorder.