Cited by 115Suicide and Self-Harm StudiesAutism Spectrum Disorder ResearchHomicide, Infanticide, and Child Abuse

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Suicidality in Autistic Spectrum Disorders: A Systematic Review

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Zahid, Sofia, Upthegrove, Rachel·2017·Crisis

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Abstract

Abstract. Background: It is suggested that people with autistic spectrum disorders (ASD) may be at increased risk of suicide; however, research on this topic has been minimal and there are conflicting reports in existing studies. Aim: To bring together research investigating the prevalence, risk factors, and comorbid factors of suicidality in ASD. Method: A systematic search was performed of Medline, Psych Info, Embase, and the Web of Science following PRISMA guidelines. After exclusion criteria were applied, 70 full-text articles were screened. The final review contained 12 papers with a total sample size of 2,651. Results: Prevalence of suicide attempts varied between 7% and 47%, while suicidal ideation was reported in up to 72% of cases. Being male and having a history of self-harm and depression were cited as significant risk factors. Limitations: Papers were cross sectional and contained a number of limitations. Only one paper used the gold standard for diagnosis of ASD and one a standardized measure of suicidal behavior. Conclusion: Suicidal attempts and ideation are increased in ASD; however, the extent of the increase and the risk factors identified within this group remain under-investigated. There is a lack of research on protective factors. The correlation between ASD and suicidality needs further examination with longitudinal research.

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Authors: Zahid, S., & Upthegrove, R.
Affiliations: University of Birmingham (GB)
ORCID: Upthegrove, Rachel
Venue: Crisis
Publisher: Hogrefe Publishing Group
Published: 2017-07
Volume: 38
Issue: 4
Pages: 237-246
ISSN: 0227-5910 (ISSN-L)
2151-2396
DOI: 10.1027/0227-5910/a000458
OpenAlex: W2610605440
Cited by: 115
References: 31
Citations by year: 2026: 6 · 2025: 13 · 2024: 13 · 2023: 10 · 2022: 16 · 2021: 23 · 2020: 15 · 2019: 13 · 2018: 5 · 2017: 1
FWCI: 1.43
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Crisis (publishedVersion)
PubMed (publishedVersion)
University of Birmingham Research Portal (University of Birmingham) (submittedVersion, other-oa)
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, suicide attempts, suicidal ideation, risk factors, self-harm, depression, prevalence, comorbidities, protective factors
MeSH terms: Autism Spectrum Disorder, Anxiety Disorders, Depressive Disorder, Humans, Risk Factors, Suicide, Suicide, Attempted, Comorbidity, Prevalence, Attention Deficit and Disruptive Behavior Disorders, Suicidal Ideation

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