Cited by 146Suicide and Self-Harm StudiesAutism Spectrum Disorder ResearchHomicide, Infanticide, and Child Abuse

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Suicidality in autistic youth: A systematic review and meta-analysis

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O'Halloran, L., Coey, P., Wilson, C.·2022·Clinical Psychology Review

DOI 10.1016/j.cpr.2022.102144

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Abstract

Suicidality in autistic youth is a major public health issue. This study aimed to determine global prevalence of, and risk/protective factors for suicidality in autistic youth via systematic review and meta-analysis. We systematically searched Embase, PubMed, PsycINFO, Web of Science, and the Cochrane library for studies from inception to November 22nd, 2021. We selected empirical studies reporting on suicide outcomes (i.e., ideation, behaviors, attempts and deaths) in autistic youth (≤25 years). Random effects models were used to estimate the pooled prevalence of suicide outcomes with 95% confidence interval (CI). Heterogeneity was investigated with potential moderators using meta-regression analyses. The final selection included 47 papers, 29 of which were included in meta-analyses and 37 were narratively synthesized (sociodemographic, psychiatric, psychological, other factors, and interventions). The pooled prevalence of suicidal ideation was 25.2% (95% CI 18.2-33.8; i.e., one in four), suicide attempts 8.3% (3.6-18.2), and suicide deaths 0.2% (0.05-0.52). Estimates in self-reports were higher than in parent-reports. Age was a significant but inconsistent moderator on suicide outcomes, but substantial heterogeneity remained. Adverse childhood experiences were strong risk factors for suicidality, while resilience was protective. Participatory suicide risk-assessment, early intervention, and resilience promotion should be primary clinical/research goals.

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Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2012
Christensen, D. L., Braun, K. V. N., Baio, J., Bilder, D., Charles, J., Constantino, J. N., Daniels, J., Durkin, M. S., Fitzgerald, R. T., Kurzius-Spencer, M., et al. (2018) · MMWR. Surveillance Summaries · doi:10.15585/mmwr.ss6513a1 · Cited by 587
Retracted
Bias in meta-analysis detected by a simple, graphical test
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997) · BMJ · doi:10.1136/bmj.315.7109.629 · Cited by 56,722
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & the PRISMA Group* (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-4-200908180-00135 · Cited by 37,554
Untitled work
(2014) · Medical Entomology and Zoology · Cited by 17,633
Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses
Stang, A. (2010) · European Journal of Epidemiology · doi:10.1007/s10654-010-9491-z · Cited by 17,396
Introduction to Meta‐Analysis
Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009) · doi:10.1002/9780470743386 · Cited by 14,225
The weirdest people in the world?
Henrich, J., Heine, S. J., & Norenzayan, A. (2010) · Behavioral and Brain Sciences · doi:10.1017/s0140525x0999152x · Cited by 12,641
A basic introduction to fixed-effect and random-effects models for meta-analysis
Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2010) · Research Synthesis Methods · doi:10.1002/jrsm.12 · Cited by 6,793
The interpersonal theory of suicide.
Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010) · Psychological Review · doi:10.1037/a0018697 · Cited by 5,292
Psychiatric Disorders in Children With Autism Spectrum Disorders: Prevalence, Comorbidity, and Associated Factors in a Population-Derived Sample
Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e318179964f · Cited by 3,399
How should meta‐regression analyses be undertaken and interpreted?
Thompson, S. G., & Higgins, J. P. T. (2002) · Statistics in Medicine · doi:10.1002/sim.1187 · Cited by 3,026
Autism spectrum disorder
Lord, C., Elsabbagh, M., Baird, G., & Veenstra-Vanderweele, J. (2018) · The Lancet · doi:10.1016/s0140-6736(18)31129-2 · Cited by 2,819
What Is the Male-to-Female Ratio in Autism Spectrum Disorder? A Systematic Review and Meta-Analysis
Loomes, R., Hull, L., & Mandy, W. P. L. (2017) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2017.03.013 · Cited by 2,804
Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis
Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., Sen, S., & Mata, D. A. (2016) · JAMA · doi:10.1001/jama.2016.17324 · Cited by 2,479
Diagnostic and Statistical Manual of Mental Disorders (DSM)
Glass, R. M. (2009) · Oxford University Press eBooks · doi:10.1093/jama/9780195176339.022.529 · Cited by 2,157
The Methodological Quality Assessment Tools for Preclinical and Clinical Studies, Systematic Review and Meta-Analysis, and Clinical Practice Guideline: A Systematic Review
Zeng, X., Zhang, Y., Kwong, J. S. W., Zhang, C., Li, S., Sun, F., Niu, Y., & Du, L. (2015) · Journal of Evidence-Based Medicine · doi:10.1111/jebm.12141 · Cited by 2,082
Prevalence of co-occurring mental health diagnoses in the autism population: a systematic review and meta-analysis
Lai, M.-C., Kassee, C., Besney, R., Bonato, S., Hull, L., Mandy, W., Szatmari, P., & Ameis, S. H. (2019) · The Lancet Psychiatry · doi:10.1016/s2215-0366(19)30289-5 · Cited by 1,892
The integrated motivational–volitional model of suicidal behaviour
O'Connor, R. C., & Kirtley, O. J. (2018) · Philosophical Transactions of the Royal Society B: Biological Sciences · doi:10.1098/rstb.2017.0268 · Cited by 1,781
Prevalence, Correlates, and Treatment of Lifetime Suicidal Behavior Among Adolescents: Results From the National Comorbidity Survey Replication Adolescent Supplement
Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013) · JAMA Psychiatry · doi:10.1001/2013.jamapsychiatry.55 · Cited by 1,666
Introduction to Meta-Analysis
Jones, H. E. (2010) · Paediatric and Perinatal Epidemiology · doi:10.1111/j.1365-3016.2010.01108.x · Cited by 1,447
Self-injurious thoughts and behaviors as risk factors for future suicide ideation, attempts, and death: a meta-analysis of longitudinal studies
Ribeiro, J. D., Franklin, J. C., Fox, K. R., Bentley, K. H., Kleiman, E. M., Chang, B. P., & Nock, M. K. (2016) · Psychological Medicine · doi:10.1017/s0033291715001804 · Cited by 1,346
Consequences of bullying victimization in childhood and adolescence: A systematic review and meta-analysis
Moore, S. E., Norman, R. E., Suetani, S., Thomas, H. J., Sly, P. D., & Scott, J. G. (2017) · World Journal of Psychiatry · doi:10.5498/wjp.v7.i1.60 · Cited by 1,320
Safety planning intervention: a brief intervention to mitigate suicide risk.
Stanley, B., & Brown, G. K. (2012) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2011.01.001 · Cited by 1,267
The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research.
Chu, C., Buchman-Schmitt, J. M., Stanley, I. H., Hom, M. A., Tucker, R. P., Hagan, C. R., Rogers, M. L., Podlogar, M. C., Chiurliza, B., Ringer, F. B., et al. (2017) · Psychological Bulletin · doi:10.1037/bul0000123 · Cited by 1,231
Premature mortality in autism spectrum disorder
Hirvikoski, T., Mittendorfer-Rutz, E., Boman, M., Larsson, H., Lichtenstein, P., & Bölte, S. (2016) · British Journal of Psychiatry · doi:10.1192/bjp.bp.114.160192 · Cited by 1,011
Rebuilding the tower of babel: a revised nomenclature for the study of suicide and suicidal behaviors part 2: suicide-related ideations, communications, and behaviors.
Silverman, M. M., Berman, A. L., Sanddal, N. D., O'Carroll, P. W., & Joiner, T. E. (2007) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2007.37.3.264 · Cited by 991
Self-regulation in childhood as a predictor of future outcomes: A meta-analytic review.
Robson, D. A., Allen, M. S., & Howard, S. J. (2020) · Psychological Bulletin · doi:10.1037/bul0000227 · Cited by 759
Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital
Hawton, K., Zahl, D., & Weatherall, R. (2003) · British Journal of Psychiatry · doi:10.1192/bjp.182.6.537 · Cited by 751
Differentiating suicide attempters from suicide ideators: a critical frontier for suicidology research
Klonsky, E. D., & May, A. M. (2014) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12068 · Cited by 740
Quantifying and exploring camouflaging in men and women with autism
Lai, M.-C., Lombardo, M. V., Ruigrok, A. N., Chakrabarti, B., Auyeung, B., Szatmari, P., Happé, F., Baron-Cohen, S., & MRC AIMS Consortium (2017) · Autism · doi:10.1177/1362361316671012 · Cited by 705
Global Lifetime and 12-Month Prevalence of Suicidal Behavior, Deliberate Self-Harm and Non-Suicidal Self-Injury in Children and Adolescents between 1989 and 2018: A Meta-Analysis
Lim, K.-S., Wong, C. H. J., McIntyre, R. S., Wang, J., Zhang, Z., Tran, B. X., Tan, W., Ho, C. S. H., & Ho, R. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16224581 · Cited by 650
Comparison of the Safety Planning Intervention With Follow-up vs Usual Care of Suicidal Patients Treated in the Emergency Department
Stanley, B., Brown, G. K., Brenner, L. A., Galfalvy, H. C., Currier, G. W., Knox, K. L., Chaudhury, S. R., Bush, A. L., & Green, K. L. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.1776 · Cited by 648
Risk markers for suicidality in autistic adults
Cassidy, S., Bradley, L., Shaw, R., & Baron-Cohen, S. (2018) · Molecular Autism · doi:10.1186/s13229-018-0226-4 · Cited by 621
Suicide and Youth: Risk Factors
Bilsen, J. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00540 · Cited by 584
The prevalence of suicidal thoughts and behaviours among college students: a meta-analysis
Mortier, P., Cuijpers, P., Kiekens, G., Auerbach, R. P., Demyttenaere, K., Green, J. G., Kessler, R. C., Nock, M. K., & Bruffaerts, R. (2018) · Psychological Medicine · doi:10.1017/s0033291717002215 · Cited by 572
A review of executive function deficits in autism spectrum disorder and attention-deficit/hyperactivity disorder
Margari, L., Craig, F., Margari, F., Legrottaglie, A., Palumbi, R., & De Giambattista, C. (2016) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s104620 · Cited by 557
Camouflaging in autism: A systematic review
Cook, J., Hull, L., Crane, L., & Mandy, W. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2021.102080 · Cited by 554
Problem-solving skills in suicidal psychiatric patients.
Schotte, D. E., & Clum, G. A. (1987) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.55.1.49 · Cited by 485
The Relation Between Child Maltreatment and Adolescent Suicidal Behavior: A Systematic Review and Critical Examination of the Literature
Miller, A. B., Esposito-Smythers, C. L., Weismoore, J. T., & Renshaw, K. D. (2013) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-013-0131-5 · Cited by 444
Annual Research Review: Looking back to look forward – changes in the concept of autism and implications for future research
Happé, F., & Frith, U. (2020) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13176 · Cited by 438
Suicidal ideation and suicide plans or attempts in adults with Asperger's syndrome attending a specialist diagnostic clinic: a clinical cohort study
Cassidy, S., Bradley, P., Robinson, J., Allison, C., McHugh, M., & Baron-Cohen, S. (2014) · The Lancet Psychiatry · doi:10.1016/s2215-0366(14)70248-2 · Cited by 432
Autistic Self-Advocacy and the Neurodiversity Movement: Implications for Autism Early Intervention Research and Practice
Leadbitter, K., Buckle, K. L., Ellis, C., & Dekker, M. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.635690 · Cited by 417
‘People like me don’t get support’: Autistic adults’ experiences of support and treatment for mental health difficulties, self-injury and suicidality
Camm-Crosbie, L., Bradley, L., Shaw, R., Baron-Cohen, S., & Cassidy, S. (2019) · Autism · doi:10.1177/1362361318816053 · Cited by 415
Annual Research Review: A meta‐analytic review of worldwide suicide rates in adolescents
Glenn, C. R., Kleiman, E. M., Kellerman, J., Pollak, O., Cha, C. B., Esposito, E. C., Porter, A. C., Wyman, P. A., & Boatman, A. E. (2020) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13106 · Cited by 391
Social and Psychiatric Functioning in Adolescents with Asperger Syndrome Compared with Conduct Disorder
Green, J., Gilchrist, A., Burton, D., & Cox, A. (2000) · Journal of Autism and Developmental Disorders · doi:10.1023/a:1005523232106 · Cited by 389
A systematic review of the predictions of the Interpersonal-Psychological Theory of Suicidal Behavior
Ma, J., Batterham, P. J., Calear, A. L., & Han, J. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.04.008 · Cited by 384
The Child Behavior Checklist and related instruments.
Achenbach, T. M. (1999) · Cited by 376
Is Camouflaging Autistic Traits Associated with Suicidal Thoughts and Behaviours? Expanding the Interpersonal Psychological Theory of Suicide in an Undergraduate Student Sample
Cassidy, S., Gould, K., Townsend, E., Pelton, M., Robertson, A., & Rodgers, J. (2019) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-019-04323-3 · Cited by 372
Selection bias on intellectual ability in autism research: a cross-sectional review and meta-analysis
Russell, G., Mandy, W., Elliott, D., White, R., Pittwood, T., & Ford, T. (2019) · Molecular Autism · doi:10.1186/s13229-019-0260-x · Cited by 366
Suicide risk in relation to family history of completed suicide and psychiatric disorders: a nested case-control study based on longitudinal registers
Qin, P., Agerbo, E., & Mortensen, P. B. (2002) · The Lancet · doi:10.1016/s0140-6736(02)11197-4 · Cited by 352
No clear choice between Newcastle–Ottawa Scale and Appraisal Tool for Cross-Sectional Studies to assess methodological quality in cross-sectional studies of health-related quality of life and breast cancer
Moskalewicz, A., & Oremus, M. (2019) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2019.12.013 · Cited by 352
‘I never realised everybody felt as happy as I do when I am around autistic people’: a thematic analysis of autistic adults’ relationships with autistic and neurotypical friends and family
Crompton, C. J., Hallett, S., Ropar, D., Flynn, E., & Fletcher-Watson, S. (2020) · Autism · doi:10.1177/1362361320908976 · Cited by 351
The prevalence and correlates of abuse among children with autism served in comprehensive community-based mental health settings
Mandell, D. S., Walrath, C., Manteuffel, B. A., Sgro, G., & Pinto‐Martin, J. A. (2005) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2005.06.006 · Cited by 298
Adolescent suicidal behaviours in 32 low- and middle-income countries
McKinnon, B., Gariépy, G., Sentenac, M., & Elgar, F. J. (2016) · Bulletin of the World Health Organization · doi:10.2471/blt.15.163295 · Cited by 297
The Use of Psychological Testing for Treatment Planning and Outcomes Assessment
(2014) · Routledge eBooks · doi:10.4324/9781410610621 · Cited by 295
Suicide in elementary school-aged children and early adolescents
Sheftall, A. H., Asti, L., Horowitz, L. M., Felts, A., Fontanella, C. A., Campo, J. V., & Bridge, J. A. (2016) · Pediatrics · doi:10.1542/peds.2016-0436 · Cited by 271
Suicide ideation and attempts in children with autism
Mayes, S. D., Gorman, A. A., Garcia, J. H., & Syed, E. U. (2012) · Research in Autism · doi:10.1016/j.rasd.2012.07.009 · Cited by 259
Evidence-based support for autistic people across the lifespan: maximising potential, minimising barriers, and optimising the person–environment fit
Lai, M.-C., Anagnostou, E., Wiznitzer, M., Allison, C., & Baron-Cohen, S. (2020) · The Lancet Neurology · doi:10.1016/s1474-4422(20)30034-x · Cited by 250
Bereavement by suicide as a risk factor for suicide attempt: A cross-sectional national UK-wide study of 3432 young bereaved adults
Pitman, A. L., Osborn, D. P. J., Rantell, K., & King, M. B. (2016) · BMJ Open · doi:10.1136/bmjopen-2015-009948 · Cited by 241
Child and Adolescent Suicide Attempts, Suicidal Behavior, and Adverse Childhood Experiences in South Africa: A Prospective Study
Cluver, L. D., Orkin, M. M., Boyes, M. E., & Sherr, L. (2015) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2015.03.001 · Cited by 233
Peer Victimization in Adolescents and Young Adults Diagnosed with Asperger's Syndrome: A Link to Depressive Symptomatology, Anxiety Symptomatology and Suicidal Ideation
Shtayermman, O. (2007) · Issues in Comprehensive Pediatric Nursing · doi:10.1080/01460860701525089 · Cited by 203
A 20‐year study of suicide death in a statewide autism population
Kirby, A. V., Bakian, A. V., Zhang, Y., Bilder, D. A., Keeshin, B. R., & Coon, H. (2019) · Autism Research · doi:10.1002/aur.2076 · Cited by 192
Assessment of Suicidal Behaviors Among Individuals With Autism Spectrum Disorder in Denmark
Kõlves, K., Fitzgerald, C., Nordentoft, M., Wood, S. J., & Erlangsen, A. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.33565 · Cited by 191
The association between self-injurious behaviors and autism spectrum disorders
Minshawi, N., Hurwitz, S., Fodstad, J., Biebl, S., Morris, D., & McDougle, C. (2014) · Psychology Research and Behavior Management · doi:10.2147/prbm.s44635 · Cited by 188
Comparison of suicidal ideation, suicide attempt and suicide in children and young people in care and non-care populations: Systematic review and meta-analysis of prevalence
Evans, R., White, J., Turley, R., Slater, T., Morgan, H., Strange, H., & Scourfield, J. (2017) · Children and Youth Services Review · doi:10.1016/j.childyouth.2017.09.020 · Cited by 180
Systematic Review of Suicide in Autism Spectrum Disorder: Current Trends and Implications
Hedley, D., & Uljarević, M. (2018) · Current Developmental Disorders Reports · doi:10.1007/s40474-018-0133-6 · Cited by 176
Mindfulness-Based Program for Children with Autism Spectrum Disorder and Their Parents: Direct and Long-Term Improvements
Ridderinkhof, A., de Bruin, E. I., Blom, R., & Bögels, S. M. (2017) · Mindfulness · doi:10.1007/s12671-017-0815-x · Cited by 175
Advancing Theory by Assessing Boundary Conditions With Metaregression: A Critical Review and Best-Practice Recommendations
Gonzalez-Mule, E. N., & Aguinis, H. (2017) · Journal of Management · doi:10.1177/0149206317710723 · Cited by 169
What Do We Know About Suicidality in Autism Spectrum Disorders? A Systematic Review
Segers, M., & Rawana, J. (2014) · Autism Research · doi:10.1002/aur.1375 · Cited by 168
The phenomenology and clinical correlates of suicidal thoughts and behaviors in youth with autism spectrum disorders
Storch, E. A., Sulkowski, M. L., Nadeau, J., Lewin, A. B., Arnold, E. B., Mutch, P. J., Jones, A. M., & Murphy, T. K. (2013) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-013-1795-x · Cited by 157
Lifetime prevalence of suicidal ideation and suicidal behaviors in gender non-conforming youths: a meta-analysis
Surace, T., Fusar‐Poli, L., Vozza, L., Cavone, V., Arcidiacono, C., Mammano, R., Basile, L., Rodolico, A., Bisicchia, P., Caponnetto, P., et al. (2020) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-020-01508-5 · Cited by 140
Are autistic traits associated with suicidality? A test of the interpersonal‐psychological theory of suicide in a non‐clinical young adult sample
Pelton, M. K., & Cassidy, S. A. (2017) · Autism Research · doi:10.1002/aur.1828 · Cited by 135
Suicide in Autism Spectrum Disorders
Richa, S., Fahed, M., Khoury, E., & Mishara, B. (2014) · Archives of Suicide Research · doi:10.1080/13811118.2013.824834 · Cited by 135
Association between suicidal spectrum behaviors and attention-deficit/hyperactivity disorder: a systematic review and meta-analysis
Septier, M., Stordeur, C., Zhang, J., Delorme, R., & Cortese, S. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.05.022 · Cited by 128
In Addition to Stigma: Cognitive and Autism-Related Predictors of Mental Health in Transgender Adolescents
Strang, J. F., Anthony, L. G., Song, A. Y., Lai, M., Knauss, M., Sadikova, E., Graham, E. K., Zaks, Z., Wimms, H., Willing, L. M., et al. (2021) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2021.1916940 · Cited by 122
Risk of Suicide Attempts Among Adolescents and Young Adults With Autism Spectrum Disorder: A Nationwide Longitudinal Follow-Up Study
Chen, M.-H., Pan, T.-L., Lan, W.-H., Hsu, J.-W., Huang, K.-L., Su, T.-P., Li, C.-T., Lin, W.-C., Wei, H.-T., Chen, T.-J., et al. (2017) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.16m11100 · Cited by 121
Understanding Suicide Risk in Autistic Adults: Comparing the Interpersonal Theory of Suicide in Autistic and Non-autistic Samples
Pelton, M., Crawford, H., Robertson, A., Rodgers, J., Baron‐Cohen, S., & Cassidy, S. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04393-8 · Cited by 119
Suicidality in Autistic Spectrum Disorders: A Systematic Review
Zahid, S., & Upthegrove, R. (2017) · Crisis · doi:10.1027/0227-5910/a000458 · Cited by 115
Mental health difficulties among trans and gender diverse young people with an autism spectrum disorder (ASD): Findings from Trans Pathways
Strauss, P., Cook, A. G., Watson, V., Winter, S., Whitehouse, A., Albrecht, N. J., Toussaint, D. W., & Lin, A. P. (2021) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2021.03.005 · Cited by 114
Life events and depression in children with pervasive developmental disorders
Ghaziuddin, M., Alessi, N. E., & Greden, J. F. (1995) · Journal of Autism and Developmental Disorders · doi:10.1007/bf02178296 · Cited by 108
Suicidal behaviour in adolescents and young adults with ASD: Findings from a systematic review
Hannon, G., & Taylor, E. P. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2013.10.003 · Cited by 95
High rates of psychiatric co-morbidity in individuals with Asperger's disorder
Mukaddes, N. M., & Fateh, R. (2009) · The World Journal of Biological Psychiatry · doi:10.1080/15622970902789130 · Cited by 93
Autistic Traits and Suicidal Thoughts, Plans, and Self-Harm in Late Adolescence: Population-Based Cohort Study
Culpin, I., Mars, B., Pearson, R. M., Golding, J., Heron, J., Bubak, I., Carpenter, P. K., Magnusson, C., Gunnell, D., & Rai, D. (2018) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2018.01.023 · Cited by 91
Talking About Death or Suicide: Prevalence and Clinical Correlates in Youth with Autism Spectrum Disorder in the Psychiatric Inpatient Setting
Horowitz, L. M., Thurm, A. E., Farmer, C., Mazefsky, C. A., Lanzillo, E. C., Bridge, J. A., Greenbaum, R., Pao, M., & Siegel, M. S. (2017) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3180-7 · Cited by 90
Advancing Research in Child Suicide: A Call to Action
Ayer, L. A., Colpe, L. J., Pearson, J. L., Rooney, M. E., & Murphy, E. R. (2020) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2020.02.010 · Cited by 87
Risk for Premature Mortality and Intentional Self-harm in Autism Spectrum Disorders
Jokiranta‐Olkoniemi, E., Gyllenberg, D., Sucksdorff, D., Suominen, A., Kronström, K., Chudal, R., & Sourander, A. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04768-x · Cited by 84
Role of School Bullying Involvement in Depression, Anxiety, Suicidality, and Low Self-Esteem Among Adolescents With High-Functioning Autism Spectrum Disorder
Chou, W., Wang, P., Hsiao, R. C.-J., Hu, H., & Yen, C. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00009 · Cited by 79
Measurement Properties of the Suicidal Behaviour Questionnaire-Revised in Autistic Adults
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Conner, C. M., Golt, J., Righi, G., Shaffer, R., Siegel, M., & Mazefsky, C. A. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04370-1 · Cited by 77
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Schiltz, H. K., McVey, A. J., Dolan, B. K., Willar, K. S., Pleiss, S. S., Karst, J. S., Carson, A. M., Caiozzo, C. N., Vogt, E. M., Yund, B. D., et al. (2017) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3396-6 · Cited by 75
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Gadow, K. D., Guttmann-Steinmetz, S., Rieffe, C. J., & DeVincent, C. J. (2011) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-011-1367-x · Cited by 74
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Wang, Y.-R., Sun, J., Lin, P., Zhang, H.-H., Mu, G.-X., & Cao, F. (2019) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2019.104183 · Cited by 70
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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
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Suicidal behavior in children and adolescents with developmental disorders11We thank Cynthia Johnson, Ph.D., and David Brent, M.D. for their helpful comments during manuscript preparation.
Hardan, A. Y., & Sahl, R. A. (1999) · Research in Developmental Disabilities · doi:10.1016/s0891-4222(99)00010-4 · Cited by 59
History of Suicide Attempts in Adults With Asperger Syndrome
Paquette‐Smith, M., Weiss, J. A., & Lunsky, Y. (2014) · Crisis · doi:10.1027/0227-5910/a000263 · Cited by 56
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Mikami, K., Inomata, S., Hayakawa, N., Ohnishi, Y., Enseki, Y., Ohya, A., Haruki, Y., Kishi, Y., Shinohara, Y., Ichimura, A., et al. (2009) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2008.12.003 · Cited by 52
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Mental Health Clinicians’ Screening and Intervention Practices to Reduce Suicide Risk in Autistic Adolescents and Adults
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Prevalence of comorbid depressive symptoms and suicidal ideation in children with autism spectrum disorder and elevated anxiety symptoms
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South, M., Costa, A. P., & McMorris, C. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.34018 · Cited by 39
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Weissman, A. S., & Bates, M. E. (2010) · Research in Autism · doi:10.1016/j.rasd.2010.01.005 · Cited by 32
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Masi, G., Scullin, S., Narzisi, A., Muratori, P., Paciello, M., Fabiani, D., Lenzi, F., Mucci, M., & D’Acunto, G. (2020) · Brain Sciences · doi:10.3390/brainsci10100750 · Cited by 32
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Authors: O'Halloran, L., Coey, P., & Wilson, C.
Affiliations: Children's Health Ireland at Crumlin (IE)
Trinity College Dublin (IE)
ORCID: Coey, P.
Wilson, C.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2022-04
Volume: 93
Pages: 102144
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2022.102144
OpenAlex: W4221063598
Cited by: 146
References: 140
Citations by year: 2026: 39 · 2025: 42 · 2024: 38 · 2023: 19 · 2022: 8
FWCI: 4.47
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
creativecommons.org/licenses/by/4.0/ (vor)
Locations: Clinical Psychology Review (publishedVersion, cc-by)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords: suicidality, autism spectrum disorder, autistic youth, suicidal ideation, suicide attempts, suicide mortality, prevalence, risk factors, protective factors, adverse childhood experiences, resilience, suicide risk assessment, early intervention, self-report versus parent report
MeSH terms: Adolescent, Autistic Disorder, Humans, Suicide, Suicide, Attempted, Prevalence, Suicidal Ideation

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Suicidality in autistic youth: A systematic review and meta-analysis

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