Suicidality in Autistic Spectrum Disorders: A Systematic Review

@article{Zahid2017SuicidalityIA,
  title={Suicidality in Autistic Spectrum Disorders: A Systematic Review},
  author={Sofia Zahid and Rachel Upthegrove},
  journal={Crisis: The Journal of Crisis Intervention and Suicide Prevention},
  year={2017},
  volume={38},
  pages={237–246}
}
  • Sofia Zahid, R. Upthegrove
  • Published 3 May 2017
  • Psychology, Medicine
  • Crisis: The Journal of Crisis Intervention and Suicide Prevention
Background: It is suggested that people with autistic spectrum disorders (ASD) may be at increased risk of suicide; however, research on this topic has been minimal and there are conflicting reports in existing studies. Aim: To bring together research investigating the prevalence, risk factors, and comorbid factors of suicidality in ASD. Method: A systematic search was performed of Medline, Psych Info, Embase, and the Web of Science following PRISMA guidelines. After exclusion criteria were… 

Figures from this paper

Risk markers for suicidality in autistic adults
TLDR
In autistic adults, non-suicidal self-injury, camouflaging, and number of unmet support needs significantly predicted suicidality, suggesting there are unique factors associated with autism and autistic traits that increase risk of suicidity.
A case study of suicidality presenting as a restricted interest in autism Spectrum disorder
TLDR
This case-study suggests that specific clinical and neuropsychological dimensions might be related to suicidal behaviors in ASD, and suggests new tools need to be developed to assess persistent suicidal thoughts in this population, as they might berelated to intrinsic features of ASD.
Systematic Review of Suicide in Autism Spectrum Disorder: Current Trends and Implications
TLDR
An up-to-date systematic review was conducted for studies examining suicide in ASD that were published in the past 5 years, including a shift to the use of larger cohorts, including one population-based study.
Commentary: Suicide risk is high, but often overlooked, in autistic spectrum disorder populations.
  • Luke Curtis
  • Psychology, Medicine
    Journal of child psychology and psychiatry, and allied disciplines
  • 2022
TLDR
This large study involved 56,008 self-harm cases and 1,399,356 controls and reported that many diagnoses were associated with significantly higher rates ofSelf-Harm in populations with ADHD, Anxiety, ASD, Depression, and Eating Disorders.
Gender Differences in the Suicide Attempts of Adolescents in Emergency Departments: Focusing on Individuals with Autism Spectrum Disorder
TLDR
Males were less likely to visit psychiatric service previous to attempting suicides, and may be likely to complete suicides, in addition, suicide attempters with ASD are characteristic in male, and likely to have comorbid adjustment disorder.
Co-occurrence of autistic and psychotic traits: implications for depression, self-harm and suicidality
TLDR
It is novel in finding that their combined presence has no additional effect on depression, self-harm or suicidality, and the importance of considering both autistic and psychotic traits and their symptom domains in research and when developing population-based depression prevention and intervention strategies is highlighted.
Suicidal Thoughts and Behaviours Among Autistic Adults Presenting to the Psychiatric Emergency Department: An Exploratory Chart Review
TLDR
It is implied that ED visits serve as important opportunities for suicidal risk reduction for autistic individuals, through implementation of strategies for identification of STB such as active screening, and the provision of suicide resources tailored to autistic people.
Population-Based Psychiatric Comorbidity in Children and Adolescents With Autism Spectrum Disorder: A Meta-Analysis
TLDR
There is a need for better targeted diagnostic tools to detect psychiatric comorbidity in children and youth in future population-based studies, as an essential component in providing care as well as new insights into the nature and mechanisms of its underlying associations.
...
...

References

SHOWING 1-10 OF 29 REFERENCES
What Do We Know About Suicidality in Autism Spectrum Disorders? A Systematic Review
TLDR
A systematic literature review to examine the prevalence of suicidality among individuals with autism spectrum disorders, related demographic and clinical profiles, and associated risk and protective factors found that individuals with ASD comprised 7.3–15% of suicidal populations, a substantial subgroup.
Clinical features of suicide attempts in adults with autism spectrum disorders.
History of suicide attempts in adults with Asperger syndrome.
TLDR
The suicide attempt rate in the sample is much higher than the 4.6% lifetime prevalence seen in the general population and highlights a need for more specialized services to help prevent future attempts and to support this vulnerable group.
Comorbid atypical autistic traits as a potential risk factor for suicide attempts among adult depressed patients: a case–control study
TLDR
Depressed adults with comorbid atypical autistic traits are at higher risk for suicide attempts and may engage in methods that are more lethal.
AUTISM Spectrum Disorders and Suicidality
TLDR
Although it is not clear whether the high suicidal risk is related with ASDs per se or with psychotic symptoms, a high index of suspicion is warranted in evaluating suicidal risk in patients affected by ASDs, whatever is their age, psychiatric comorbidity, and setting of visit.
Frequency and clinical features of pervasive developmental disorder in adolescent suicide attempts.
Suicidal behavior in children and adolescents with developmental disorders.
  • A. Hardan, R. Sahl
  • Psychology, Medicine
    Research in developmental disabilities
  • 1999
Attempted Suicide of an Adolescent with Autism Spectrum Disorder
TLDR
The characteristics of the suicidal behaviors and the process for preventing a suicide reattempt associated with an adolescent with ASD who attempted suicide are presented.
Diagnostic procedures in autism spectrum disorders: a systematic literature review
TLDR
A systematic review addressing the accuracy, reliability, validity and utility of reported diagnostic tools and assessments for autism spectrum disorders revealed levels of accuracy very similar to the correct classification rates for the current ‘gold standard’ diagnostic procedure.
...
...