Journal Article

Talking About Death or Suicide: Prevalence and Clinical Correlates in Youth with Autism Spectrum Disorder in the Psychiatric Inpatient Setting

Bridge, Jeffrey A, Lubetsky, Martin, Dechant, Briar, Hagopian, Louis, Lanzillo, Elizabeth, Verdi, Mary, Tylenda, Barbara, Rossman, Brad, Horowitz, Lisa M, Morrow, Eric M, Wink, Logan, Williams, Diane, Geer, Angela, Kaplan, Desmond, Peura, Christine, Pao, Maryland, McGuire, Kelly, Pedersen, Kahsi A, Best, Carrie, Greenbaum, Rachel, Pierri, Joseph, Small, Cathleen, Santangelo, Susan L, Righi, Giulia, McGonigle, John, Meservy, Zenoa, Benevides, Jill, Erickson, Craig, Pedapati, Ernest, Stuckey, Nicole, Farmer, Cristan, Handen, Benjamin, Siegel, Matthew, Williams, Deanna, Mazefsky, Carla, Klever, Adam, Sannar, Elise, Beresford, Carol, Bowen, Katie, Rogers, Christie, Montrenes, Joshua, MacKenzie, Kristen, Thurm, Audrey, Gabriels, Robin L, Palka, Tamara, Flis, Tom, Ruberg, Jennifer, Vezzoli, Jessica, Troen, Brittany, McNeil, Faith, Gastgeb, Holly

2018

Overview

Little is known about suicidal ideation in youth with autism spectrum disorder (ASD), making it difficult to identify those at heightened risk. This study describes the prevalence of thoughts about death and suicide in 107 verbal youth with ASD with non-verbal IQ >55, assessed during inpatient psychiatric admission. Per parent report, 22% of youth with ASD had several day periods when they talked about death or suicide “often,” or “very often.” Clinical correlates included the presence of a comorbid mood (OR 2.71, 95% CI 1.12–6.55) or anxiety disorder (OR 2.32, 95% CI 1.10–4.93). The results suggest a need for developmentally appropriate suicide risk screening measures in ASD. Reliable detection of suicidal thoughts in this high-risk population will inform suicide prevention strategies.

• Publisher: Springer Nature B.V
• Subject: Adolescents / Anxiety / Anxiety disorders / At Risk Persons / Attrition (Research Studies) / Autism / Autism Spectrum Disorders / Behavior Problems / Behavior Rating Scales / Child & adolescent psychiatry / Comorbidity / Death / Death & dying / Death attitudes / Disease Control / Emotions / High risk / Hospitalization / Intelligence Quotient / Intelligence tests / Medical screening / Mental disorders / Mental Health / Parents / Patients / Prevention / Psychiatry / Psychological Evaluation / Risk / Screening Tests / Self Destructive Behavior / Suicidal ideation / Suicide / Suicide prevention / Suicides & suicide attempts / Talking / Verbal Ability / Youth