Investigating Bullying as a Predictor of Suicidality in a Clinical Sample of Adolescents with Autism Spectrum Disorder.
Investigating Bullying as a Predictor of Suicidality in a Clinical Sample of Adolescents with Autism Spectrum Disorder.
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在自闭症谱系障碍的青少年临床样本中，研究欺凌作为自杀性的预测指标。
DOI：
10.1002/aur.2292
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发表时间：
2020-06
期刊：
影响因子：
--
通讯作者：
Downs J
中科院分区：
文献类型：
--
作者：
Holden R;Mueller J;McGowan J;Sanyal J;Kikoler M;Simonoff E;Velupillai S;Downs J
对于典型发育的青少年来说，被欺负与自杀风险增加有关。虽然患有自闭症谱系障碍（ASD）的青少年遭受欺凌和自杀的风险都在增加，但很少有研究调查被欺凌的经历在多大程度上增加了这一特定人群的自杀倾向。为了解决这个问题，我们进行了一项回顾性队列研究，调查680名ASD青少年临床人群中遭受欺凌与自杀之间的纵向关联。分析了在伦敦南部使用心理健康服务并诊断为ASD的青少年（13-17岁）的电子健康记录。采用自然语言处理方法识别青少年临床记录自由文本字段中提到的欺凌和自杀行为。采用Cox回归分析调查霸凌与自杀结果的纵向关系。在临床接触的第一个月内报告的欺凌经历与随访期间自杀风险增加相关（风险比= 1.82；95%可信区间= 1.28-2.59）。此外，女性性别、精神病、情感性障碍诊断和较高的智力水平均与自杀有关。这项研究首次证明了欺凌与ASD青少年临床人群自杀之间的纵向联系，使用自动化方法检测临床记录中的关键生活事件。我们的研究结果为识别和处理校园欺凌行为提供了支持，并为将反欺凌策略纳入更广泛的ASD青少年自杀预防计划提供了支持。中国孤独症杂志，2016,33(3):988‐997。©2020作者。国际自闭症研究协会出版的《自闭症研究》，Wiley期刊公司出版。我们调查了青少年自闭症谱系障碍（ASD）中欺凌与自杀之间的关系。我们检查了伦敦南部患有自闭症的青少年（13-18岁）的临床记录，他们正在接受儿童和青少年心理健康服务中心的治疗。我们发现，如果他们在第一次接受心理健康服务后的第一个月报告被欺负，他们产生自杀念头或行为的可能性几乎是之前的两倍。
For typically developing adolescents, being bullied is associated with increased risk of suicidality. Although adolescents with autism spectrum disorder (ASD) are at increased risk of both bullying and suicidality, there is very little research that examines the extent to which an experience of being bullied may increase suicidality within this specific population. To address this, we conducted a retrospective cohort study to investigate the longitudinal association between experiencing bullying and suicidality in a clinical population of 680 adolescents with ASD. Electronic health records of adolescents (13–17 years), using mental health services in South London, with a diagnosis of ASD were analyzed. Natural language processing was employed to identify mentions of bullying and suicidality in the free text fields of adolescents' clinical records. Cox regression analysis was employed to investigate the longitudinal relationship between bullying and suicidality outcomes. Reported experience of bullying in the first month of clinical contact was associated with an increased risk suicidality over the follow‐up period (hazard ratio = 1.82; 95% confidence interval = 1.28–2.59). In addition, female gender, psychosis, affective disorder diagnoses, and higher intellectual ability were all associated with suicidality at follow‐up. This study is the first to demonstrate the strength of longitudinal associations between bullying and suicidality in a clinical population of adolescents with ASD, using automated approaches to detect key life events within clinical records. Our findings provide support for identifying and dealing with bullying in schools, and for antibullying strategy's incorporation into wider suicide prevention programs for young people with ASD. Autism Res 2020, 13: 988‐997. © 2020 The Authors. Autism Research published by International Society for Autism Research published by Wiley Periodicals, Inc. We investigated the relationship between bullying and suicidality in young people with autism spectrum disorder (ASD). We examined the clinical records of adolescents (aged 13–18 years old) with ASD in South London who were receiving treatment from Child and Adolescent Mental Health Services. We found that if they reported being bullied in the first month after they were first seen by mental health services, they were nearly twice as likely to go on to develop suicidal thoughts or behaviors.
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影响因子：
2.5
作者：
Mayes, Susan Dickerson;Gorman, Angela A.;Syed, Ehsan
通讯作者：
Syed, Ehsan
DOI：
10.1097/chi.0b013e318196b91f
发表时间：
2009-03-01
影响因子：
13.3
作者：
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通讯作者：
Gould, Madelyn S.
影响因子：
4.6
作者：
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通讯作者：
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影响因子：
3.9
作者：
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通讯作者：
Siegel, Matthew
影响因子：
5.2
作者：
Hebron, Judith;Humphrey, Neil
通讯作者：
Humphrey, Neil