解决自闭症青少年的自杀问题:对学校心理健康专业人员的启示

IF 1.8 3区 心理学 Q3 PSYCHOLOGY, EDUCATIONAL Psychology in the Schools Pub Date : 2024-07-01 DOI:10.1002/pits.23273
Geovanna Rodriguez, Dania R. Holmberg, Amber Fredrick, Susan J. Stadelman
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引用次数: 0

摘要

自杀是影响儿童和青少年的一个复杂的、多层面的危机,已成为一个重大的公共卫生问题。虽然对神经发育正常的青少年有大量相关研究,但对自闭症患者自杀倾向的本质却知之甚少。自闭症青少年更容易出现自杀倾向,而学校心理健康(SMH)专业人员对这一点却知之甚少,他们对在学校环境中解决自杀问题的能力和自我效能表示怀疑(Debski 等人,2007 年;O'Neill 等人,2020 年)。共存的心理健康问题给早期发现自闭症青少年的自杀风险带来了巨大挑战。鉴于自杀是自闭症患者的主要死因,自闭症青少年的自杀率尤其令人担忧。本文以实践为导向,回顾了自闭症青少年中存在自杀风险因素的先天脆弱性研究,以及有助于管理自闭症青少年自杀风险的评估注意事项。最后,我们建议将多层次的神经多元化确认方法与对学生交叉身份的敏感性以及系统层面对学生心理健康的影响结合起来,使心理、精神和健康专业人员能够为自闭症青少年创造支持性的学校环境,防止他们受到进一步的伤害。
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Addressing suicidality in autistic youth: Implications for school mental health professionals
Suicide is a complex, multifaceted crisis affecting children and adolescents, and has become a major public health concern. While there is a plethora of research on this topic among neurotypically developing youth, much less is known about the nature of suicidality in autistic individuals. Autistic youth show an increased vulnerability for suicidal tendencies that are poorly understood among school mental health (SMH) professionals, who report a range of competency and self‐efficacy to address suicidality in school settings (Debski et al., 2007; O'Neill et al., 2020). Co‐occurring mental health difficulties pose significant challenges in the early detection of suicide risk in autistic youth. Given that suicide is the leading cause of death among autistic individuals, the incidence of suicidality among autistic youth is of particular concern. This article provides a practice‐friendly review of the research outlining innate vulnerabilities that present risk factors for suicide among autistic youth, along with assessment considerations that help inform the management of suicide risk in autistic youth. We conclude with recommendations for integrating a multi‐tiered neurodiverse‐affirming approach with sensitivity for student intersecting identities and system‐level influences on student mental health that enables SMH professionals to create supportive school environments for autistic youth that prevent further harm.
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来源期刊
Psychology in the Schools
Psychology in the Schools PSYCHOLOGY, EDUCATIONAL-
CiteScore
3.00
自引率
5.00%
发文量
200
期刊介绍: Psychology in the Schools, which is published eight times per year, is a peer-reviewed journal devoted to research, opinion, and practice. The journal welcomes theoretical and applied manuscripts, focusing on the issues confronting school psychologists, teachers, counselors, administrators, and other personnel workers in schools and colleges, public and private organizations. Preferences will be given to manuscripts that clearly describe implications for the practitioner in the schools.
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