Talking About Death or Suicide: Prevalence and Clinical Correlates in Youth with Autism Spectrum Disorder in the Psychiatric Inpatient Setting
Talking About Death or Suicide: Prevalence and Clinical Correlates in Youth with Autism Spectrum Disorder in the Psychiatric Inpatient Setting
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DOI：
10.1007/s10803-017-3180-7
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发表时间：
2018-11-01
影响因子：
3.9
通讯作者：
Siegel, Matthew
中科院分区：
文献类型：
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作者：
Horowitz, Lisa M.;Thurm, Audrey;Siegel, Matthew
关于自闭症谱系障碍（ASD）青少年的自杀意念知之甚少，因此很难识别那些高危人群。本研究描述了107名非语言智商>55的语言型ASD青年在住院精神病期间对死亡和自杀想法的流行情况。根据父母的报告，22%的ASD青少年有几天的时间经常谈论死亡或自杀。临床相关性包括存在共病情绪（OR 2.71，95%CI 1.12-6.55）或焦虑障碍（OR 2.32，95%CI 1.10-4.93）。研究结果表明，需要在ASD中制定适当的自杀风险筛查措施。在这个高风险人群中可靠地检测自杀想法将为自杀预防策略提供信息。
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.