A Comparative Study of Suicidality and Its Association with Emotion Regulation Impairment in Large ASD and US Census-Matched Samples

Conner, Caitlin M.; Golt, Josh; Righi, Giulia; Shaffer, Rebecca; Siegel, Matthew; Mazefsky, Carla A.

doi:10.1007/s10803-020-04370-1

Cited by 77Suicide and Self-Harm StudiesAutism Spectrum Disorder ResearchChild Nutrition and Feeding Issues

A Comparative Study of Suicidality and Its Association with Emotion Regulation Impairment in Large ASD and US Census-Matched Samples

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Conner, Caitlin M., Golt, Josh, Righi, Giulia, Shaffer, Rebecca, Siegel, Matthew, Mazefsky, Carla A.·2020·Journal of Autism and Developmental Disorders

DOI 10.1007/s10803-020-04370-1PMC PMC7893480

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Abstract

Evidence suggests increased rates of suicidality in autism spectrum disorder (ASD), but the research has rarely used comparison samples and the role of emotion dysregulation has not been considered. We compared the prevalence of parent-reported suicidality ideation and considered the role of emotion dysregulation in 330 psychiatric inpatient youth with ASD, 1169 community youth with ASD surveyed online, and 1000 youth representative of the US census. The prevalence of suicidal ideation was three and five times higher in the community and inpatient ASD samples, respectively, compared to the general US sample. In the ASD groups, greater emotion dysregulation was associated with suicidal ideation. Implications include consideration of emotion regulation as a potential mechanism and treatment target for suicidality in ASD.

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Emotional dysregulation is related to the development and maintenance of affective and behavioral problems, and particularly to the development and maintenance of anxiety and depression.
“La DRE se ha relacionado con el desarrollo y el mantenimiento de problemas afectivos y conductuales (Cai et al., 2018;Conner et al., 2020) y, particularmente, con el desarrollo y mantenimiento de la ansiedad (Cisler y Olatunji, 2012;White et al., 2014) y la depresión (Schäfer et al., 2017).”
From Ansiedad y trastornos del espectro del autismo: notas para la intervención psicoeducativa (2022) · cites this paper as Conner et al., 2020
The Discussion > Limitations passage says impaired emotion regulation is associated with psychiatric symptoms and problem behaviors in ASD, supporting the clause for which Conner et al. is cited. It does not establish that dysregulation contributes to the development or maintenance of those problems. The sentence cites other sources, not Conner et al., for the specific claims about anxiety and depression; page numbers are unavailable in our copy. (LLM, conf=0.85)
Experimental — accuracy not yet measured
Emotion dysregulation (ED) has been identified as an important risk factor for self-harm and suicidal behaviors in autistic individuals.
“Emotion dysregulation (ED), the difficulty in modulating emotions, has been identified as an important risk factor.”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Conner et al., 2020
The Discussion reports that emotion-regulation impairment was significantly associated with parent-reported suicidal ideation and behavior in the ASD groups. The Methods measure of behavior includes deliberate self-harm or attempted suicide. However, the paper describes an association, not an established risk factor, and does not assess self-harm separately from suicide attempts. (LLM, conf=0.86)
Experimental — accuracy not yet measured
In a sample of autistic children and adolescents, greater ED was associated with an increased likelihood of suicidal ideation and attempts.
“Indeed, in a sample of autistic children and adolescents, Conner et al. (2020) reported that greater ED was associated with an increased likelihood of suicidal ideation and attempts.”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Conner et al., 2020
The Results report that higher emotion-regulation impairment was associated with parent-reported suicidal ideation and with a combined measure of suicidal behaviors or attempts in the ASD groups. The Discussion > Limitations states that the study did not assess suicide attempts separately, so it cannot establish the claimed association with attempts specifically. Page numbers were not provided in our copy. (LLM, conf=0.90)
Experimental — accuracy not yet measured
There is a growing body of literature suggesting that ED might be a relevant treatment target in autistic individuals, especially those with self-harming behaviors and increased suicidality.
“There is a growing body of literature suggesting that ED might be a relevant treatment target in autistic individuals (Reyes et al., 2019; Conner et al., 2020), especially those with self-harming behaviors and increased suicidality (Moseley et al., 2019; Conner et al., 2020).”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Conner et al., 2020

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A case study of suicidality presenting as a restricted interest in autism Spectrum disorder
Weiner, L., Flin, A., Causin, J.-B., Weibel, S., & Bertschy, G. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2122-7 · Cited by 19 · see citing works
Suicidality in Autism Spectrum Disorder: a Commentary
Lai, J., Rhee, E., & Nicholas, D. B. (2017) · Advances in Neurodevelopmental Disorders · doi:10.1007/s41252-017-0018-4 · Cited by 16 · see citing works
Screening for Suicide Risk in Children with Autism and Related Disabilities in a Pediatric Autism Center.
Lipkin, P. H. (2019) · INSAR 2019 Annual Meeting · Cited by 1 · see citing works

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Relationship Between Emotion Regulation and Suicide Ideation and Attempt in Adults and Adolescents: A Systematic Review
Colmenero-Navarrete, L., García-Sancho, E., & Salguero, J. M. (2022) · Archives of Suicide Research · doi:10.1080/13811118.2021.1999872 · Cited by 155 · see citing works
Suicidality in autistic youth: A systematic review and meta-analysis
O'Halloran, L., Coey, P., & Wilson, C. (2022) · Clinical Psychology Review · doi:10.1016/j.cpr.2022.102144 · Cited by 146 · see citing works
Emotion Dysregulation is Substantially Elevated in Autism Compared to the General Population: Impact on Psychiatric Services
Conner, C. M., Golt, J., Shaffer, R., Righi, G., Siegel, M., & Mazefsky, C. A. (2021) · Autism Research · doi:10.1002/aur.2450 · Cited by 130 · see citing works
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Updated Systematic Review of Suicide in Autism: 2018–2024
Brown, C. M., Newell, V., Sahin, E., & Hedley, D. (2024) · Current Developmental Disorders Reports · doi:10.1007/s40474-024-00308-9 · Cited by 130 · see citing works
Emotion regulation and emotion dysregulation in children and adolescents with Autism Spectrum Disorder: A meta-analysis of evaluation and intervention studies
Restoy, D., Oriol-Escudé, M., Alonzo-Castillo, T., Magán‐Maganto, M., Canal‐Bedia, R., Villoria, E. D., Gisbert, L., Setién-Ramos, I., Martínez-Ramírez, M., Ramos‐Quiroga, J. A., et al. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102410 · Cited by 86 · see citing works
Advancing Our Understanding of Self-harm, Suicidal Thoughts and Behaviours in Autism
Cassidy, S. A., Robertson, A., Townsend, E., O’Connor, R. C., & Rodgers, J. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04643-9 · Cited by 68 · see citing works
Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study
Bemmouna, D., Coutelle, R., Weibel, S., & Weiner, L. (2022) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-021-05317-w · Cited by 64 · see citing works
A systematic review of problematic video-game use in people with Autism Spectrum Disorders
Craig, F., Tenuta, F., GIACOMO, A. D., Trabacca, A., & Costabile, A. (2021) · Research in Autism · doi:10.1016/j.rasd.2021.101726 · Cited by 67 · see citing works
Emotion dysregulation in autism: A meta-analysis
McDonald, R. G., Cargill, M. I., Khawar, S., & Kang, E. (2024) · Autism · doi:10.1177/13623613241257605 · Cited by 51 · see citing works
Diagnostic- and sex-based differences in depression symptoms in autistic and neurotypical early adolescents
Schwartzman, J. M., Williams, Z. J., & Corbett, B. A. (2021) · Autism · doi:10.1177/13623613211025895 · Cited by 51 · see citing works
The effectiveness and safety of dialectical behavior therapy for suicidal ideation and behavior in autistic adults: a pragmatic randomized controlled trial
Huntjens, A., van den Bosch, L. M. C., Sizoo, B. B., Kerkhof, A. J. F. M., Smit, F., & van der Gaag, M. (2024) · Psychological Medicine · doi:10.1017/s0033291724000825 · Cited by 42 · see citing works
Emotion regulation and executive function: Associations with depression and anxiety in autism
Conner, C. M., Elias, R., Smith, I. C., & White, S. W. (2023) · Research in Autism Spectrum Disorders · doi:10.1016/j.rasd.2023.102103 · Cited by 43 · see citing works
Self-citation
Regulating Together: Emotion Dysregulation Group Treatment for ASD Youth and Their Caregivers
Shaffer, R. C., Schmitt, L., Reisinger, D. L., Coffman, M. C., Horn, P. S., Goodwin, M. S., Mazefsky, C. A., Randall, S., & Erickson, C. A. (2022) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-022-05461-x · Cited by 43 · see citing works
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Non-suicidal self-injury and its relation to suicide through acquired capability: investigating this causal mechanism in a mainly late-diagnosed autistic sample
Moseley, R. L., Gregory, N. J., Smith, P. L., Allison, C. L., Cassidy, S., & Baron‐Cohen, S. (2022) · Molecular Autism · doi:10.1186/s13229-022-00522-5 · Cited by 30 · see citing works
Emotion dysregulation is heightened in autistic females: A comparison with autistic males and borderline personality disorder
Weiner, L., Costache, M. E., Bemmouna, D., Rabot, J., Weibel, S., Dubreucq, M., Dubreucq, J., & Coutelle, R. (2023) · Women s Health · doi:10.1177/17455057231174763 · Cited by 29 · see citing works
The biosocial correlates and predictors of emotion dysregulation in autistic adults compared to borderline personality disorder and nonclinical controls
Bemmouna, D., Lagzouli, A., & Weiner, L. (2023) · Molecular Autism · doi:10.1186/s13229-023-00580-3 · Cited by 26 · see citing works
“The World’s Really Not Set Up for the Neurodivergent Person”: Understanding Emotion Dysregulation from the Perspective of Autistic Adults
Beck, K. B., MacKenzie, K. T., Kumar, T., Breitenfeldt, K. E., Chang, J. C., Conner, C. M., Mandell, D. L., White, S. W., & Mazefsky, C. A. (2024) · Autism in Adulthood · doi:10.1089/aut.2023.0214 · Cited by 40 · see citing works
Self-citation
Emotion dysregulation in autism: Severity and correlates in early childhood
Northrup, J. B., Hartman, A. G., MacKenzie, K. T., Sivathasan, S., Eldeeb, S. M., & Mazefsky, C. A. (2024) · Autism Research · doi:10.1002/aur.3264 · Cited by 23 · see citing works
Self-citation
The effectiveness of applied behavior analysis program training on enhancing autistic children’s emotional-social skills
Du, G., Guo, Y., & Xu, W. (2024) · BMC Psychology · doi:10.1186/s40359-024-02045-5 · Cited by 22 · see citing works
Linehan’s biosocial model applied to emotion dysregulation in autism: a narrative review of the literature and an illustrative case conceptualization
Bemmouna, D., & Weiner, L. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1238116 · Cited by 20 · see citing works
An Examination of Perceived Stress and Emotion Regulation Challenges as Mediators of Associations Between Camouflaging and Internalizing Symptomatology
McQuaid, G. A., Sadowski, L. Y., Lee, N., & Wallace, G. L. (2023) · Autism in Adulthood · doi:10.1089/aut.2022.0121 · Cited by 22 · see citing works
Systematic Review: Emotion Dysregulation in Syndromic Causes of Intellectual and Developmental Disabilities
Shaffer, R. C., Reisinger, D. L., Schmitt, L., Lamy, M., Dominick, K. C., Smith, E. G., Coffman, M. C., & Esbensen, A. J. (2022) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2022.06.020 · Cited by 20 · see citing works
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Mental health–related hospitalizations among adolescents and emerging adults with autism in the United States: A retrospective, cross-sectional analysis of national hospital discharge data
McMaughan, D. J., Imanpour, S., Mulcahy, A. C., Jones, J. L., & Criss, M. M. (2023) · Autism · doi:10.1177/13623613221143592 · Cited by 20 · see citing works
Emotion Reactivity and Suicide Risk in Patients With Depression: The Mediating Role of Non-Suicidal Self-Injury and Moderating Role of Childhood Neglect
Wang, L., Cui, Q., Liu, J., & Zou, H. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.707181 · Cited by 16 · see citing works
Stakeholder informed development of the Emotion Awareness and Skills Enhancement team–based program (EASE-Teams)
Beck, K. B., Northrup, J. B., Breitenfeldt, K. E., Porton, S., Day, T. N., MacKenzie, K. T., Conner, C. M., & Mazefsky, C. A. (2021) · Autism · doi:10.1177/13623613211061936 · Cited by 21 · see citing works
Self-citation
Examining the feasibility and utility of heart rate variability on intervention outcomes targeting emotion regulation in autism: a brief report
Reisinger, D. L., Goodwin, M. S., Horn, P. S., Schmitt, L., Coffman, M. C., & Shaffer, R. C. (2024) · Scientific Reports · doi:10.1038/s41598-024-66084-z · Cited by 16 · see citing works
Self-citation
Characterizing difficulties with emotion regulation in toddlers with autism spectrum disorder
Day, T. N., Mazefsky, C. A., & Wetherby, A. M. (2022) · Research in Autism · doi:10.1016/j.rasd.2022.101992 · Cited by 16 · see citing works
Self-citation
Compassion focused therapy for self-stigma and shame in autism: a single case pre-experimental study
Riebel, M., Krasny‐Pacini, A., Manolov, R., Rohmer, O., & Weiner, L. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1281428 · Cited by 16 · see citing works
Are autistic females at greater risk of suicide? A call for clarity to advance suicide prevention for the whole community
Kirby, A. V., Conner, C. M., & Mazefsky, C. A. (2024) · Autism Research · doi:10.1002/aur.3120 · Cited by 16 · see citing works
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The Emotion Dysregulation Inventory−Young Child: Psychometric Properties and Item Response Theory Calibration in 2- to 5-Year-Olds
Day, T. N., Mazefsky, C. A., Yu, L., Zeglen, K. N., Neece, C. L., & Pilkonis, P. A. (2023) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2023.04.021 · Cited by 15 · see citing works
Self-citation
A Scoping Review of Autism and the Way It Changes the Presentation of Suicidal Thoughts and Behavior Compared to the General Population
Cleary, M. L., West, S., McLean, L., Hunt, G. E., Hungerford, C. L., & Kornhaber, R. A. (2022) · Issues in Mental Health Nursing · doi:10.1080/01612840.2022.2132329 · Cited by 12 · see citing works
Lifetime stressor exposure is related to suicidality in autistic adults: A multinational study
Moseley, R. L., Hedley, D., Turner‐Cobb, J. M., Uljarević, M., Bury, S. M., Shields, G. S., Trollor, J. N., Stokes, M. A., & Slavich, G. M. (2024) · Autism · doi:10.1177/13623613241299872 · Cited by 12 · see citing works
Two Halves of the Same Whole: A Framework to Integrate Autism and Mental Health Services
Cleary, M., West, S., Mclean, L., Kornhaber, R., & Hungerford, C. (2022) · Issues in Mental Health Nursing · doi:10.1080/01612840.2022.2126570 · Cited by 12 · see citing works
Suicide risk in transition-aged autistic youth: The link among executive function, depression, and autistic traits
Cook, M. L., Tomaszewski, B. R., Lamarche, E., Bowman, K. L., Klein, C. B., Stahl, S., & Klinger, L. G. (2024) · Autism · doi:10.1177/13623613241227983 · Cited by 12 · see citing works
Dialectical Behavior Therapy in Autism
Weiner, L., Bemmouna, D., Costache, M. E., & Martz, É. (2025) · Current Psychiatry Reports · doi:10.1007/s11920-025-01596-7 · Cited by 10 · see citing works
The role of intellectual disability and emotional regulation in the autism–depression relationship
Sáez‐Suanes, G. P., García-Villamisar, D. A., & Armentia, A. D. P. (2023) · Autism · doi:10.1177/13623613231161881 · Cited by 10 · see citing works
“You Feel Like You Kind of Walk Between the Two Worlds”: A Participatory Study Exploring How Technology Can Support Emotion Regulation for Autistic People
Gillies-Walker, L., Ramzan, N., Rankin, J., Nimbley, E., & Gillespie‐Smith, K. (2022) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-021-05392-z · Cited by 9 · see citing works
Correlates of quality of life in autistic individuals
MacKenzie, K. T., Theodat, A., Beck, K. B., Conner, C. M., Mazefsky, C. A., & Eack, S. M. (2024) · Research in Autism · doi:10.1016/j.rasd.2024.102401 · Cited by 11 · see citing works
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Expression and co-regulation of negative emotion in 18-month-olds at increased likelihood for autism with diverse developmental outcomes
Northrup, J. B., Cortez, K. B., Mazefsky, C. A., & Iverson, J. M. (2024) · Autism · doi:10.1177/13623613241233664 · Cited by 7 · see citing works
Self-citation
A vocational rehabilitation partnership to provide transition services to young adults with neurodevelopmental disabilities: The cognitive skills enhancement program
Kulzer, J. L., Beck, K. B., Trabert, C., Meyer, E. C., Colacci, J., Pramuka, M., & McCue, M. P. (2023) · Journal of Vocational Rehabilitation · doi:10.3233/jvr-230005 · Cited by 6 · see citing works
Influences on suicidality and suicide-prevention needs for the autistic community: Qualitative insights from multiple perspectives
Kirby, A. V., Feldman, K. J. C., Clark, W., Darlington, A. N., Atisme, A., Duncan-Ishcomer, B., Kripke-Ludwig, R., Joyce, A., Lee, W. V., Rodriguez, K., et al. (2025) · Autism · doi:10.1177/13623613251368019 · Cited by 6 · see citing works
Disproportionate mental health risks in autistic females: A rapid review with quantitative and narrative syntheses
Lacroix, A., Tzang, C.-C., Yu, J., Jacob, B. K., Alexandrovsky, M., Winge-Breen, A., Rodak, T., & Lai, M. (2025) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2025.101229 · Cited by 6 · see citing works
Perspectives from the Autism Community on the Potential Utility of a Novel Measure of Suicide Risk and Mental Health Symptoms for Autistic Youth: A Pilot Study
Cervantes, P. E., Gibbons, R. D., Palinkas, L. A., Conlon, G. R., & Horwitz, S. M. (2024) · Journal of Developmental and Physical Disabilities · doi:10.1007/s10882-024-09963-7 · Cited by 6 · see citing works
Psychosocial challenges and substance use among suicidal autistic individuals on social media: LLM-assisted keyword generation with human-in-the-loop refinement
Sazzed, S. (2025) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2025.106110 · Cited by 6 · see citing works
Experiences of the step-out technique in emotion-focused therapy for clients with autistic process
Robinson, A., & Kalawski, J. P. (2022) · Person-Centered & Experiential Psychotherapies · doi:10.1080/14779757.2022.2115941 · Cited by 5 · see citing works
Advancing Research on Suicide and Mental Health in Autistic Adults Through a Research Domain Criteria-Inspired Framework
Mazefsky, C. A., Conner, C. M., Siegle, G. J., Scott, L. N., Bylsma, L. M., Beck, K. B., Antezana, L., Hu, X., Cohen, A. D., Borue, X., et al. (2025) · Autism in Adulthood · doi:10.1177/25739581251393807 · Cited by 6 · see citing works
Self-citation
Using machine learning to identify features associated with different types of self-injurious behaviors in autistic youth
Antezana, L., Conner, C. M., Eldeeb, S. M., Turecki, S. C., Siegel, M. S., Karim, H. T., & Mazefsky, C. A. (2025) · Psychological Medicine · doi:10.1017/s0033291725000637 · Cited by 4 · see citing works
Self-citation
Executive Functions and Emotional Regulation in Autism Spectrum Disorder: Clinical Implications
Guazzo, G. M., & Ginolfi, C. (2025) · European Journal of Medical and Health Research · doi:10.59324/ejmhr.2025.3(2).18 · Cited by 6 · see citing works
Study protocol for a randomized controlled trial of Regulating Together (RT), a group therapy for emotion dysregulation in school-age autistic youth and their caregivers
McKinney, W. S., Tadevich, L. J., Schmitt, L., Horn, P. S., Ruberg, J. R., White, S. W., Reisinger, D. L., Burkett, K., Sarawgi, S., Kang, S., et al. (2025) · BMC Psychology · doi:10.1186/s40359-025-02737-6 · Cited by 3 · see citing works
Self-citation
Emotion regulation as a mediator of dialectical behaviour therapy for autistic adults with suicidal ideation
Huntjens, A., Smit, F., van den Bosch, L. V. D., Kerkhof, A., Sizoo, B., & van der Gaag, M. (2025) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2025.2539301 · Cited by 2 · see citing works
Suicidal Ideation Among Autistic and Non-autistic Adults: The Role of Emotion Regulation Difficulties
Fayena, E., Horesh, D., Haruvi-Lamdan, N., & Golan, O. (2025) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-025-07056-8 · Cited by 3 · see citing works
Adverse outcomes for autistic people: an umbrella review of mental health, physical health, social and lifestyle domains
French, B., Newell, V., Nalbant, G., Wright, H., Daley, D., & Cassidy, S. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1702822 · Cited by 3 · see citing works
Exploring self-harm risk vulnerabilities in autism using the ‘thinking patterns profiling model’
Tollerfield, I., Wilkinson, E., Stewart, A., Nall‐Evans, S., Michelet, F., Elliott, P., & Jaydeokar, S. (2023) · Discover Psychology · doi:10.1007/s44202-023-00069-3 · Cited by 3 · see citing works
Perceived stress and emotion regulation mediate associations between camouflaging and internalizing symptomatology among autistic adultsPreprint
McQuaid, G. A., Sadowski, L. Y., Lee, N., & Wallace, G. L. (2022) · doi:10.31234/osf.io/q375t · Cited by 3 · see citing works
Neurodiversity-Affirming Dialectical Behaviour Therapy (NDA-DBT) Informed Group Skills Training Programme for Autistic Adults: A Pilot Study
Strang, M., & Sakdalan, J. A. (2025) · Neurodiversity · doi:10.1177/27546330251400335 · Cited by 3 · see citing works
Correlates of Deliberate Self-Harm in Youth With Autism and/or Intellectual Disability
López‐Arvizu, C., Steelesmith, D. L., Hand, B. N., Huang, R., Thompson, A., Llamocca, E. N., Quinn, B. A., Fontanella, C. A., & Campo, J. V. (2025) · JAACAP Open · doi:10.1016/j.jaacop.2024.09.012 · Cited by 2 · see citing works
Mood Alternations on the Autistic Spectrum
Sáez‐Suanes, G. P. (2024) · Springer eBooks · doi:10.1007/978-3-031-40858-8_5-1 · Cited by 2 · see citing works
Ansiedad y trastornos del espectro del autismo: notas para la intervención psicoeducativa
Sánchez-Cueva, M. S., Alcantud Marín, F., & Alonso-Esteban, Y. (2022) · Siglo Cero: Revista Española sobre Discapacidad Intelectual · doi:10.14201/scero2022534930 · Cited by 1 · see citing works
“La DRE se ha relacionado con el desarrollo y el mantenimiento de problemas afectivos y conductuales (Cai et al., 2018; Conner et al., 2020) y, particularmente, con el desarrollo y mantenimiento de la ansiedad (Cisler y Olatunji, 2012; White et al., 2014) y la depresión (Schäfer et al., 2017).”
Background
Inpatient Child and Adolescent Psychiatry Youth with Autism and/or Intellectual Disabilities: Clinical Characteristics and Considerations
Morris, A. M., Lynch, S., Kasdin, R. G., Hill, I., Shah, S., Shanker, P., Becker, T. D., Staudenmaier, P. J., Leong, A. W., Martin, D., et al. (2025) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-025-06898-6 · Cited by 1 · see citing works
Elucidating the structure of depressive symptoms, emotion regulation, and their interrelatedness in autistic adults: A network analysis
McQuaid, G. A., Lee, N., & Wallace, G. L. (2025) · Personality Neuroscience · doi:10.1017/pen.2025.10006 · Cited by 1 · see citing works
Neurodiversity‐Affirming Emotion‐Focused Group Therapy: An Exploratory Outcome Study
Robinson, A., & Elliott, R. (2026) · Counselling and Psychotherapy Research · doi:10.1002/capr.70075 · Cited by 2 · see citing works
Regulating Together: Caregivers’ experiences in a shared journey through an emotion dysregulation intervention for autistic youth
Kang, S., Burkett, K., Sarawgi, S., Ruberg, J., Paustian, J., Reisinger, D. L., Schmitt, L. M., & Shaffer, R. C. (2026) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2026.105317 · Cited by 1 · see citing works
Self-citation
‘I live with my emotions much better now’: A qualitative study of autistic adults’ subjective experience of dialectical behaviour therapy
Weiner, L., & Bemmouna, D. (2025) · Autism · doi:10.1177/13623613251348271 · Cited by 1 · see citing works
Review of Dejian Mind-Body Intervention Used to Children with Autism Spectrum Disorder
Zhao, M., Li, C., Zhao, N., & Huang, S. (2021) · Advances in Social Science, Education and Humanities Research/Advances in social science, education and humanities research · doi:10.2991/assehr.k.210617.046
Autism Across the Lifespan
(2024) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.24022001
Psychiatric Inpatient Treatment for Youth with Autism Spectrum Disorder
Palka, T., Taylor, B. J., & Siegel, M. S. (2025) · Springer eBooks · doi:10.1007/978-3-031-78143-8_18
Self-citation
Self-Injurious Behaviour during Early Childhood in a General Population Sample – Exploratory Analysis in the Norwegian Mother, Father and Child Cohort Study (MoBa)Preprint
Izotova, A., Stänicke, L. I., Mars, B., Stene‐Larsen, K., Hannigan, L. J., Øyen, A., Ask, H., Smith, G. D., Reneflot, A., Havdahl, A., et al. (2025) · Research Square · doi:10.21203/rs.3.rs-7235784/v1
Study protocol for a comparative effectiveness randomized controlled trial comparing the emotion awareness and skills enhancement program to the unified protocol in autistic youth and young adults with emotion dysregulation
Mazefsky, C. A., Bradley, M., Duman, K., Beck, K. B., Conner, C. M., Powell, N., Siegle, G. J., Jones, S. L., Trabert, C., Tonarely, N. A., et al. (2026) · BMC Psychology · doi:10.1186/s40359-025-03891-7
Self-citation
Emotion dysregulation in autistic adults : an ecological, self-report, and physiological approach
Costache, M. E. (2024) · doi:10.70675/575e0a4az1174z4c91z976cz320b40c5304a
Emotion dysregulation in autistic adults without intellectual disability : characteristics and treatment with Dialectical Behaviour Therapy
Bemmouna, D. (2023) · theses.fr (ABES) · doi:10.70675/b621fdb5zdfa7z4351zafa5zbaa42e8605a2
Caregiver-reported sleep problems and suicidality in autistic youth: findings from a sleep diary study
Sanguino, H., Clark, C., Turner, K., Howe, S. J., & McMorris, C. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1731938
A Systematic Review of the Risk and Protective Factors for Suicide in Autism Spectrum Disorder
Tubío-Fungueiriño, M., Cruz, S., Zubizarreta, S. C.-P., Pozo-Rodríguez, M., Amaia Hervas, G., Carracedo, Á., & Fernández-Prieto, M. (2026) · The Spanish Journal of Psychology · doi:10.1017/sjp.2026.10034
Families’ Neighborhood Resources Predict Treatment Response for Regulating Together, a Group Therapy for Emotion Dysregulation in Autistic Youth
McKinney, W. S., Schmitt, L. M., Ruberg, J. R., Coffman, M. C., Reisinger, D. L., & Shaffer, R. C. (2026) · Journal of Child and Adolescent Psychopharmacology · doi:10.1177/10445463261477348
Self-citation
Emotion Regulation Difficulties in Autism‐ PTSD Co‐Occurrence
Fayena, E., Shaked-Ashkenazi, S., Shoval, M., Benhamou, M., Laor, N., Horesh, D., & Golan, O. (2026) · Autism Research · doi:10.1002/aur.70359
La thérapie comportementale dialectique
Speranza, M., & Perroud, N. (2025) · Carrefour des psychothérapies · doi:10.3917/dbu.chiro.2025.01.0295
Longitudinal predictors of internalizing and externalizing behaviors in autism: Examining relationships with ritualistic behavior and social diagnostic features
Surmacz, M., Coffman, M. C., Faja, S., Nadwodny, N., Dawson, G., Jeste, S., Kleinhans, N. M., Chawarska, K., Webb, S. J., Shic, F., et al. (2026) · Development and Psychopathology · doi:10.1017/s0954579426101813
Funcionamiento ejecutivo y comportamiento suicida: una revisión sistemática
Sánchez, O. A., & Jorquera-Zapata, L. (2026) · doi:10.21501/9786287765375.4

Emotion Dysregulation As a Risk Factor for Suicidality: Comparison of Inpatient ASD, Community ASD, and US Census-Matched Youth Samples
Conner, C. M. (2019) · INSAR 2019 Annual Meeting
Self-citation
Suicidal Ideation Among Autistic and Non-autistic Adults: The Role of Emotion Regulation Difficulties
Fayena, E., Horesh, D., Haruvi-Lamdan, N., & Golan, O. (2025) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-025-07056-8 · Cited by 3 · see citing works
Brief Report: Exploratory Evaluation of Clinical Features Associated with Suicidal Ideation in Youth with Autism Spectrum Disorder
Ellison, K. S., Jarzabek, E., Jackson, S. L. J., Naples, A. J., & McPartland, J. C. (2022) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-022-05575-2 · Cited by 5 · see citing works
Parent-Reported Suicidal Ideation in Three Population-Based Samples of School-Aged Korean Children With Autism Spectrum Disorder and Autism Spectrum Screening Questionnaire Screen Positivity
Bal, V. H., LEVENTHAL, B. L., Carter, G., Kim, H., Koh, Y., Ha, M., Kwon, H., Hong, P. S., & Kim, Y. S. (2021) · Archives of Suicide Research · doi:10.1080/13811118.2020.1868367 · Cited by 15 · see citing works
Emotion Dysregulation is Substantially Elevated in Autism Compared to the General Population: Impact on Psychiatric Services
Conner, C. M., Golt, J., Shaffer, R., Righi, G., Siegel, M., & Mazefsky, C. A. (2021) · Autism Research · doi:10.1002/aur.2450 · Cited by 130 · see citing works
Self-citation

Authors: Conner, C. M., Golt, J., Righi, G., Shaffer, R., Siegel, M., & Mazefsky, C. A.
Affiliations: University of Pittsburgh (US)
Brown University (US)
Cincinnati Children's Hospital Medical Center (US)
Tufts University (US)
Corresponding author: Mazefsky, Carla A.
ORCID: Conner, Caitlin M.
Righi, Giulia
Shaffer, Rebecca
Siegel, Matthew
Mazefsky, Carla A.
Venue: Journal of Autism and Developmental Disorders
Publisher: Springer Science and Business Media LLC
Published: 2020-01-14
Volume: 50
Issue: 10
Pages: 3545-3560
ISSN: 0162-3257 (ISSN-L)
1573-3432
DOI: 10.1007/s10803-020-04370-1
PMC: PMC7893480
OpenAlex: W3000587089
Cited by: 77
References: 80
Citations by year: 2026: 10 · 2025: 18 · 2024: 18 · 2023: 11 · 2022: 11 · 2021: 7 · 2020: 2
FWCI: 3.09
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: Journal of Autism and Developmental Disorders (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01 HD079512)
Simons Foundation Autism Research Initiative (296318)
Nancy Lurie Marks Family Foundation
Ritvo-Slifka Award for Innovation in Autism Research
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords: autism spectrum disorder, suicidality, suicidal ideation, emotional dysregulation, emotion regulation, youth, psychiatric inpatients, prevalence, U.S. Census
MeSH terms: Autism Spectrum Disorder, Emotional Regulation, Adolescent, Child, Emotions, Female, Humans, Male, Surveys and Questionnaires, Suicide, United States, Prevalence, Censuses, Suicidal Ideation

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A Comparative Study of Suicidality and Its Association with Emotion Regulation Impairment in Large ASD and US Census-Matched Samples

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