Development and validation of the suicidal behaviours questionnaire - autism spectrum conditions in a community sample of autistic, possibly autistic and non-autistic adults.
Development and validation of the suicidal behaviours questionnaire - autism spectrum conditions in a community sample of autistic, possibly autistic and non-autistic adults.
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DOI：
10.1186/s13229-021-00449-3
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发表时间：
2021-06-21
期刊：
影响因子：
6.2
通讯作者：
Rodgers J
中科院分区：
文献类型：
--
作者：
Cassidy SA;Bradley L;Cogger-Ward H;Rodgers J
自闭症患者和那些具有高度自闭症特征的人经历自杀的风险很高。然而，目前还没有针对这些群体开发或验证的自杀评估工具。针对普通人群开发的自杀行为评估工具（SBQ-R）被广泛使用和验证，并根据自闭症成人的反馈进行改编，创建了自杀行为问卷-自闭症谱系状况（SBQ-ASC）。经过九次访谈和对251名自闭症成年人的在线调查，修改后的工具得到了完善，以建立项目的清晰度和相关性。随后，308名自闭、113名可能自闭和268名非自闭成人在线完成了自闭特征（AQ）、伪装性自闭特征（CAT-Q）、抑郁（PHQ-9）、焦虑（ASA-A）、挫败归属感和感知负担（INQ-15）、终生非自杀性自伤和原始版本的自杀评估工具（SBQ-R）。分析探讨了组间适应工具的适当性和度量属性。有证据支持各组适应工具（SBQ-ASC）的内容效度、结构效度、内部一致性、收敛效度和发散效度、重测效度、敏感性和特异性（用于区分有或没有自杀未遂经历的人）以及假设检验。在自闭症和可能患有自闭症的成年人中，不论性别或使用视觉辅助工具来量化抽象评定量表，SBQ-ASC的结构是相同的。参与开发和验证适应工具的样本主要是女性，并且大部分在成年后被诊断为自闭症，这限制了结果在更广泛的自闭症人群中的普遍性。SBQ-ASC是为研究而开发的，不建议用于评估未来自杀企图和/或自残的风险。SBQ-ASC是为患有自闭症或可能患有自闭症的成年人设计的，鉴于这些群体之间的测量差异，不适合与非自闭症成年人进行比较。SBQ-ASC是一种简短的自我报告自杀评估工具，与自闭症成年人一起开发和验证，没有并发智力残疾。SBQ-ASC适用于研究中识别自闭症和可能自闭症患者的自杀想法和行为，并模拟与风险和保护因素的关联。在线版本包含补充材料，可在10.1186/s13229-021-00449-3获得。
Autistic people and those with high autistic traits are at high risk of experiencing suicidality. Yet, there are no suicidality assessment tools developed or validated for these groups. A widely used and validated suicidality assessment tool developed for the general population (SBQ-R), was adapted using feedback from autistic adults, to create the Suicidal Behaviours Questionnaire—Autism Spectrum Conditions (SBQ-ASC). The adapted tool was refined through nine interviews, and an online survey with 251 autistic adults, to establish clarity and relevance of the items. Subsequently, 308 autistic, 113 possibly autistic, and 268 non-autistic adults completed the adapted tool online, alongside self-report measures of autistic traits (AQ), camouflaging autistic traits (CAT-Q), depression (PHQ-9), anxiety (ASA-A), thwarted belongingness and perceived burdensomeness (INQ-15), lifetime non-suicidal self-injury, and the original version of the suicidality assessment tool (SBQ-R). Analyses explored the appropriateness and measurement properties of the adapted tool between the groups. There was evidence in support of content validity, structural validity, internal consistency, convergent and divergent validity, test–retest validity, sensitivity and specificity (for distinguishing those with or without lifetime experience of suicide attempt), and hypothesis testing of the adapted tool (SBQ-ASC) in each group. The structure of the SBQ-ASC was equivalent between autistic and possibly autistic adults, regardless of gender, or use of visual aids to help quantify abstract rating scales. The samples involved in the development and validation of the adapted tool were largely female, and largely diagnosed as autistic in adulthood, which limits the generalisability of results to the wider autistic population. The SBQ-ASC has been developed for use in research and is not recommended to assess risk of future suicide attempts and/or self-harm. The SBQ-ASC has been designed with and for autistic and possibly autistic adults, and is not appropriate to compare to non-autistic adults given measurement differences between these groups. The SBQ-ASC is a brief self-report suicidality assessment tool, developed and validated with and for autistic adults, without co-occurring intellectual disability. The SBQ-ASC is appropriate for use in research to identify suicidal thoughts and behaviours in autistic and possibly autistic people, and model associations with risk and protective factors. The online version contains supplementary material available at 10.1186/s13229-021-00449-3.
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DOI：
10.1080/10705510701301834
发表时间：
2005-01-01
影响因子：
6
作者：
Chen, FF;Sousa, KH;West, SG
通讯作者：
West, SG
DOI：
10.1207/s15328007sem1102_8
发表时间：
2004-01-01
影响因子：
6
作者：
Byrne, BM
通讯作者：
Byrne, BM
影响因子：
9.5
作者：
Aloba, Olutayo;Ojeleye, Olubunmi;Aloba, Tolulope
通讯作者：
Aloba, Tolulope
影响因子：
7.4
作者：
Hedley, Darren;Uljarevic, Mirko;Trollor, Julian
通讯作者：
Trollor, Julian
自闭症成年人自杀的风险标记。
影响因子：
6.2
作者：
Cassidy S;Bradley L;Shaw R;Baron-Cohen S
通讯作者：
Baron-Cohen S