No Way Out? Cognitive Rigidity and Depressive Symptoms Associated with Suicidal Thoughts and Behaviors in Autistic Youth.

IF 2.2 3区医学 Q2 PSYCHIATRY Child Psychiatry & Human Development Pub Date : 2024-12-02 DOI:10.1007/s10578-024-01791-2

Morganne Reid, Ann Clawson, Allison Ratto, Brendan A Rich

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Abstract

Research has found increased premature mortality among autistic individuals, with suicide being one of the most common causes of premature death in autistic youth. This study aimed to fill literature gaps related to suicidal thoughts and behaviors (STB) in autistic youth by exploring the clinical predictors of suicidal ideation (SI) and suicidal and/or self-injurious behavior (SSIB) in 404 autistic youth from a clinic database. Consistent with prior literature, STB were elevated in autistic youth compared to general population rates. Self-reported suicidal ideation and behaviors were increased in autistic youth assigned female at birth. Caregivers reported greater SI in older autistic youth as compared to younger youth. Logistic regression analyses showed that elevated depressive symptoms and greater cognitive rigidity significantly increased the likelihood of SI in autistic youth. Results have important implications for understanding factors that increase the risk for suicidal ideation and behaviors in autistic youth and informing the development of responsive interventions.

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没有出路？自闭症青少年与自杀想法和行为相关的认知僵硬和抑郁症状

研究发现，自闭症患者的过早死亡率增加，自杀是自闭症青少年过早死亡的最常见原因之一。本研究旨在通过对404例自闭症青少年的自杀意念（SI）和自杀和/或自残行为（SSIB）的临床预测因素进行研究，填补自闭症青少年自杀想法和行为（STB）相关的文献空白。与先前的文献一致，与一般人群相比，自闭症青少年的STB发病率升高。在出生时被指定为女性的自闭症青少年中，自我报告的自杀意念和行为有所增加。照护者报告说，年龄较大的自闭症青少年的SI高于年龄较小的青少年。逻辑回归分析显示，抑郁症状的升高和认知僵化程度的提高显著增加了自闭症青少年发生自残的可能性。研究结果对理解增加自闭症青少年自杀意念和行为风险的因素，并为制定响应性干预措施提供重要启示。

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来源期刊

Child Psychiatry & Human Development Multiple-

CiteScore

0.50

自引率

3.40%

发文量

174

期刊介绍： Child Psychiatry & Human Development is an interdisciplinary international journal serving the groups represented by child and adolescent psychiatry, clinical child/pediatric/family psychology, pediatrics, social science, and human development. The journal publishes research on diagnosis, assessment, treatment, epidemiology, development, advocacy, training, cultural factors, ethics, policy, and professional issues as related to clinical disorders in children, adolescents, and families. The journal publishes peer-reviewed original empirical research in addition to substantive and theoretical reviews.