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 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… Expand
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. Expand
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. Expand
Gender Differences in the Suicide Attempts of Adolescents in Emergency Departments: Focusing on Individuals with Autism Spectrum Disorder
Background: Few studies on gender-based diagnostic characteristics of adolescent suicide attempters in emergency departments (EDs) have included individuals with autism spectrum disorder (ASD).Expand
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. Expand
Measurement properties of tools used to assess suicidality in autistic and general population adults: A systematic review.
TLDR
Overall, there was lack of evidence in support of suicidality risk assessments successfully predicting future suicide attempts, and adaptations to current suicIDality assessment tools and priorities for future research are recommended in order to better conceptualise suicideality and its measurement in autism. Expand
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. Expand
Assessment of Suicidal Behaviors Among Individuals With Autism Spectrum Disorder in Denmark.
TLDR
This nationwide retrospective cohort study found a higher rate of suicide attempt and suicide among persons with ASD and Psychiatric comorbidity was found to be a major risk factor. Expand
Suicidality in Adults with Autism Spectrum Disorder: The Role of Depressive Symptomatology, Alexithymia, and Antidepressants.
TLDR
Among those with high levels of autistic traits, the risk of suicidality was increased if they also had high levelsof alexithymia, and the importance of considering depression, antidepressants, and alexithsymia to prevent suicideality in ASD is highlighted. Expand
Prevalence of comorbid psychiatric disorders among people with autism spectrum disorder: An umbrella review of systematic reviews and meta-analyses
TLDR
A high burden of comorbid psychiatric disorders among people with ASD, including anxiety disorders, depressive disorders, bipolar and mood disorders, schizophrenia spectrum, suicidal behavior disorders, attention-deficit/hyperactivity disorder, disruptive, impulse-control and conduct disorders amongst diverse age groups are revealed. Expand
Investigating Bullying as a Predictor of Suicidality in a Clinical Sample of Adolescents with Autism Spectrum Disorder
TLDR
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. Expand
...
1
2
3
4
5
...

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. Expand
Clinical features of suicide attempts in adults with autism spectrum disorders.
TLDR
ASDs should always be a consideration when dealing with suicide attempts in adults at the emergency room, according to this study. Expand
Risk factors for suicide in individuals with depression: a systematic review.
TLDR
A systematic review of the international literature on cohort and case-control studies of people with depression in which suicide was an outcome and meta-analyses of potential risk factors found factors significantly associated with suicide. Expand
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. Expand
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. Expand
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. Expand
Frequency and clinical features of pervasive developmental disorder in adolescent suicide attempts.
TLDR
This study indicates that PDD should always be a consideration when dealing with adolescent suicide attempts and that males in the PDD group was higher than that in the non-PDD group. Expand
Suicidal ideation and suicide plans or attempts in adults with Asperger's syndrome attending a specialist diagnostic clinic: a clinical cohort study.
TLDR
The findings lend support to anecdotal reports of increased rates of suicidal ideation in adults with Asperger's syndrome, and depression as an important potential risk factor for suicidality in adults in the UK with this condition. Expand
Suicidal behavior in children and adolescents with developmental disorders.
  • A. Hardan, R. Sahl
  • Psychology, Medicine
  • Research in developmental disabilities
  • 1999
TLDR
Suicidality was more often encountered in individuals diagnosed with oppositional defiant disorder, depressive disorders, and post traumatic stress disorder, and less often in the autistic and the severely/profoundly mentally retarded groups. Expand
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. Expand
...
1
2
3
...