Predictors of Suicidal Thoughts in Children with Autism Spectrum Disorder and Anxiety or Obsessive-Compulsive Disorder: The Unique Contribution of Externalizing Behaviors.
Predictors of Suicidal Thoughts in Children with Autism Spectrum Disorder and Anxiety or Obsessive-Compulsive Disorder: The Unique Contribution of Externalizing Behaviors.
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患有自闭症谱系障碍和焦虑或强迫症的儿童自杀念头的预测因素：外化行为的独特贡献。
DOI：
10.1007/s10578-020-01114-1
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发表时间：
2022
影响因子：
2.9
通讯作者：
Storch,EricA
中科院分区：
文献类型：
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作者：
LaBuissonnièreAriza,Valérie;Schneider,SophieC;Cepeda,SandraL;Wood,JeffreyJ;Kendall,PhilipC;Small,BrentJ;Wood,KarenS;Kerns,Connor;Saxena,Kirti;Storch,EricA
患有自闭症谱系障碍（ASD）的儿童自杀意念的风险较高，特别是那些患有焦虑症和/或强迫症（OCD）的儿童。我们调查了166名患有自闭症谱系障碍和焦虑症/强迫症共病的儿童中与自杀念头相关的风险因素，以及外化行为的独特贡献。13%的父母在儿童样本中报告了自杀意念。控制儿童年龄，性别和智商，孤独感积极预测自杀意念的可能性。此外，外化行为积极预测自杀意念，控制所有其他因素。依赖父母报告来检测ASD青年的自杀意念是本研究的局限性。尽管如此，这些研究结果强调了评估和解决ASD和共病焦虑症/OCD儿童自杀意念的重要性，更重要的是在那些具有升高的外化行为和孤独感的儿童中。
Children with autism spectrum disorder (ASD) are at elevated risk of suicidal ideation, particularly those with comorbid anxiety disorders and/or obsessive-compulsive disorder (OCD). We investigated the risk factors associated with suicidal ideation in 166 children with ASD and comorbid anxiety disorders/OCD, and the unique contribution of externalizing behaviors. Suicidal ideation was reported in the child sample by 13% of parents. Controlling for child age, sex, and IQ, perceived loneliness positively predicted the likelihood of suicidal ideation. In addition, externalizing behaviors positively predicted suicidal ideation, controlling for all other factors. Reliance on parental report to detect suicidal ideation in youth with ASD is a limitation of this study. Nonetheless, these findings highlight the importance of assessing and addressing suicidal ideation in children with ASD and comorbid anxiety disorders/OCD, and more importantly in those with elevated externalizing behaviors and perceptions of loneliness.