Autism in adult psychiatric out-patients: self-reported suicidal ideation, suicide attempts and non-suicidal self-injury

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Nyrenius, JohanUniversity of Gothenburg,Lund University,Lunds universitet,Gothenburg University,Göteborgs universitet,Gillbergcentrum,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Gillberg Neuropsychiatry Centre,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry,Kliniska Vetenskaper, Helsingborg,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Forskningsenheten: svårbehandlade psykiatriska tillstånd,Forskargrupper vid Lunds universitet,Clinical Sciences, Helsingborg,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Severe Mental Illness research unit,Lund University Research Groups,Helsingborg Hospital,Sahlgrenska Academy (author)

Autism in adult psychiatric out-patients: self-reported suicidal ideation, suicide attempts and non-suicidal self-injury

Article/chapterEnglish2023

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2023

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LIBRIS-ID:oai:gup.ub.gu.se/335031
https://gup.ub.gu.se/publication/335031URI
https://doi.org/10.1192/bjo.2023.553DOI
https://lup.lub.lu.se/record/7daaf5f3-4f75-4937-849c-46f06604e8b7URI

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Language:English

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Subject category:art swepub-publicationtype

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Background The prevalence of self-reported suicidal ideation, suicide attempts and non-suicidal self-injury (NSSI) remains unclear among adults with autism unrecognised in childhood who attend psychiatric services. Aims We aimed to estimate the prevalence of suicidal ideation, suicide attempts and NSSI; identify factors associated with suicide attempts and NSSI; and describe NSSI in this group. Method Sixty-three new patients at an adult psychiatric out-patient clinic (57% women, mean age 32 years) who met full (n = 52) or subthreshold (two A criteria and minimum of two B criteria; n = 11) DSM-5 criteria for autism spectrum disorder were included in the study. Clinical assessments included overall diagnostic review, Paykel's questions on passive and active suicidality, evaluation of NSSI with the Functional Assessment of Self-Mutilation, and results of cognitive tests. One follow-up of medical records was made. Results In this sample of psychiatric out-patients identified as first having autism in adulthood, almost a third (31%) of patients reported suicidal ideation during the past month, 86% had lifetime suicidal ideation and 25% reported at least one suicide attempt. Factors associated with suicide attempts included hazardous or harmful alcohol use and/or drug-related problems, and severity of depression. A total of 44% reported NSSI. Factors associated with NSSI were female sex, history of suicidal plans and antisocial personality disorder. Substance or alcohol use were often overlooked, especially in women. Conclusions Suicidal ideation, suicide attempts and NSSI were very common in adults with autism who were recently referred to an out-patient psychiatric service. Suicidal ideation and NSSI were more common than suicide attempts. Clinicians should always consider suicidal ideation and NSSI in adult psychiatric patients with autism.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
adults
Autism
non-suicidal self-injury
out-patient psychiatry
suicide

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Waern, Margda,1955Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry,Sahlgrenska Academy(Swepub:gu)xwaema (author)
Eberhard, JonasLund University,Lunds universitet,Kliniska Vetenskaper, Helsingborg,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Psykiatri, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Forskningsenheten: svårbehandlade psykiatriska tillstånd,Forskargrupper vid Lunds universitet,Clinical Sciences, Helsingborg,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Psychiatry (Lund),Section IV,Department of Clinical Sciences, Lund,Severe Mental Illness research unit,Lund University Research Groups,Skåne University Hospital(Swepub:lu)psyk-jeb (author)
Ghaziuddin, MohammadUniversity of Michigan Health System (author)
Gillberg, Christopher,1950Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Gillbergcentrum,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry,Gillberg Neuropsychiatry Centre,Sahlgrenska University Hospital(Swepub:gu)xgilch (author)
Billstedt, Eva,1961Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Gillbergcentrum,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry,Gillberg Neuropsychiatry Centre,Sahlgrenska University Hospital(Swepub:gu)xbilev (author)
Göteborgs universitetGillbergcentrum (creator_code:org_t)

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In:BJPsych Open9:52056-4724

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