The DOI matches its Crossref record; 97 of the 97 references it cites were found in a registry or an index.
Measurement properties of tools used to assess suicidality in autistic and general population adults: A systematic review
Open accessAbstract
Adults diagnosed with autism are at significantly increased risk of suicidal thoughts, suicidal behaviours and dying by suicide. However, it is unclear whether any validated tools are currently available to effectively assess suicidality in autistic adults in research and clinical practice. This is crucial for understanding and preventing premature death by suicide in this vulnerable group. This two stage systematic review therefore aimed to identify tools used to assess suicidality in autistic and general population adults, evaluate these tools for their appropriateness and measurement properties, and make recommendations for appropriate selection of suicidality assessment tools in research and clinical practice. Three databases were searched (PsycInfo, Medline and Web of Knowledge). Four frequently used suicidality assessment tools were identified, and subsequently rated for quality of the evidence in support of their measurement properties using the COSMIN checklist. Despite studies having explored suicidality in autistic adults, none had utilised a validated tool. Overall, there was lack of evidence in support of suicidality risk assessments successfully predicting future suicide attempts. We recommend adaptations to current suicidality assessment tools and priorities for future research, in order to better conceptualise suicidality and its measurement in autism.
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“As previously mentioned, autism often co-occurs with several additional psychological comorbidities, including suicidality, anxiety disorders, and mood disorders like depression (Cassidy et al., 2018;Hollocks et al., 2019).”
From Rethinking psychological interventions in autism: Toward a neurodiversity‐affirming approach. (2025) · cites this paper as Cassidy et al., 2018
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In the citing paper
“Another instance is the TAS-20, which despite being robustly used in autism research (see, for instance, [80, 82, 141]), has never undergone a thorough examination (e.g. [118, 119]) as to whether autistic individuals understand items in the same way as non-autistic people”
From A 'choice', an 'addiction', a way 'out of the lost': Exploring self-injury in autistic people without intellectual disability (2019) · cites this paper as [119]
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“This systematic review follows the guidelines for Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards (Moher et al., 2015).”
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“There was mixed evidence for internal consistency: two studies showed high Cronbach's alpha for the whole measure (Madan et al., 2016; Posner et al., 2011), but not on some subscales (Madan et al.”
BackgroundMethodResultInfluentialMokkink, L. B., Terwee, C. B., Patrick, D. L., Alonso, J., Stratford, P. W., Knol, D. L., Bouter, L. M., & de Vet, H. C. W. (2010) · Quality of Life Research · doi:10.1007/s11136-010-9606-8 · Cited by 4,260 · cited 2×
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“This is consistent with previous research (Lijmer et al. 1999), which recommends the use of cohort studies in assessing the usefulness of suicidality assessment tools.”
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(1997) · American Psychiatric Press eBooks · Cited by 1,436
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Items 101–104 of 104
Andreasen, S., Birnie, K. A., Lunsky, Y., & McMorris, C. A. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-115813
Risikoexploration bei suizidalen Menschen im Autismusspektrum
Zinkel, K., Carranza, I., & Teismann, T. (2026) · Nervenheilkunde · doi:10.1055/a-2879-8797
A participatory and creative exploration of autistic young people’s experiences of loneliness
White, L. L., Tecwyn, E. C., & Petty, S. (2026) · Research in Neurodiversity · doi:10.1016/j.rin.2026.100086
Rousan, M. J., McGonigle, T., Muscatello, R. A., Vandekar, S., & Corbett, B. (2026) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-026-07588-7
Metadata
- Authors
- Cassidy, S. A., Bradley, L., Bowen, E., Wigham, S., & Rodgers, J.
- Affiliations
- University of Nottingham (GB)
- University of Worcester (GB)
- Newcastle University (GB)
- Corresponding author
- Cassidy, S.A.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2018-06
- Volume
- 62
- Pages
- 56-70
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2800246475
- Cited by
- 104
- References
- 96
- Citations by year
- 2026: 9 · 2025: 7 · 2024: 15 · 2023: 14 · 2022: 13 · 2021: 13 · 2020: 21 · 2019: 8 · 2018: 4
- FWCI
- 1.94
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Clinical Psychology Review (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Pure (Coventry University) (acceptedVersion, cc-by)
- e-space (Manchester Metropolitan University) (acceptedVersion)
- Worcester Research and Publications (University of Worcester) (submittedVersion)
- Nottingham ePrints (University of Nottingham) (submittedVersion, cc-by-nc-nd)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
- Newcastle University ePrints (Newcastle Univesity) (cc-by-nc-nd)
- Funders
- Economic and Social Research Council (ES/N000501/1)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- suicidality, autism spectrum disorder, autistic adults, suicide risk assessment, measurement properties, psychometric validation, COSMIN checklist, suicide prevention, suicide attempts
- MeSH terms
- Adult, Autistic Disorder, Humans, Psychometrics, Suicide, Attempted, Self-Injurious Behavior, Checklist, Suicidal Ideation
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