Suicide ideation and attempts in children with autism
Suicide ideation and attempts in children with autism
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DOI：
10.1016/j.rasd.2012.07.009
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发表时间：
2013-01-01
影响因子：
2.5
通讯作者：
Syed, Ehsan
中科院分区：
文献类型：
--
作者：
Mayes, Susan Dickerson;Gorman, Angela A.;Syed, Ehsan
对791名自闭症儿童（1 ~ 16岁）、35名非自闭症抑郁儿童和186名典型儿童的自杀意念和企图频率及其危险因素进行了测定。有自杀念头或自杀企图的自闭症儿童中，有14%的母亲认为这是一个经常出现的问题，这一比例是普通儿童（0.5%）的28倍，但低于抑郁症儿童（43%）。对于自闭症儿童，四个人口统计学变量（10岁或以上，黑人或西班牙裔，较低的社会经济地位和男性）是自杀意念或企图的重要危险因素。具有所有四种人口危险因素的大多数儿童（71%）有过意念或企图。最能预测意念或企图的共病心理问题是抑郁、行为问题和戏弄。有这些问题的儿童中几乎有一半有过自杀的念头或企图。所有自闭症儿童都应该接受自杀意念或企图的筛查，因为自闭症儿童的自杀意念和企图明显高于正常水平，并且在整个谱系中都存在。这对于具有人口统计学和合并症风险因素的儿童尤其重要，其中许多因素可以作为干预的目标，以减少和预防自杀意念和企图。(C) 2012 Elsevier Ltd.版权所有。
Frequency of suicide ideation and attempts in 791 children with autism (1-16 years), 35 nonautistic depressed children, and 186 typical children and risk factors in autism were determined. Percent of children with autism for whom suicide ideation or attempts was rated as sometimes to very often a problem by mothers (14%) was 28 times greater than that for typical children (0.5%) but less than for depressed children (43%). For children with autism, four demographic variables (age 10 or older, Black or Hispanic, lower SES, and male) were significant risk factors of suicide ideation or attempts. The majority of children (71%) who had all four demographic risk factors had ideation or attempts. Comorbid psychological problems most highly predictive of ideation or attempts were depression, behavior problems, and teased. Almost half of children with these problems had suicide ideation or attempts. All children with autism should be screened for suicide ideation or attempts because ideation and attempts in autism are significantly higher than the norm and are present across the spectrum. This is especially important for children who have the demographic and comorbid risk factors, many of which can be targeted for intervention to reduce and prevent suicide ideation and attempts. (C) 2012 Elsevier Ltd. All rights reserved.