Schwartzman 2023: suicidal behaviors in autistic adolescents

No surprise that suicide ideation and NSSI is higher in autistics!


Key Takeaways

  • Early adolescent autistics (total sample 239, 138 autistic) at higher risk for suicidal ideation and NSSI (non suicidal self-injurious behaviors) compared to non-autistics.
    • 20% autistics reported suicide ideation on self-report questionnaires but not to a study psychiatrist (via the Columbia Suicide Severity Rating Scale)
  • No sex based differences seen. 

Questions that arise after reading. 
  • What are the underlying factors that contribute to the higher risk of suicidal thoughts / behaviors and NSSI in autistic early adolescents? 
  • How can clinicians improve their ability to detect these behaviors given the discrepancies between self-report and clinician-rated measures? 
  • What interventions or treatments are effective in reducing the risk of these behaviors in autistic youth? 
  • How can parents, caregivers, and educators better support autistic youth who may be at risk ? 
  • What are the long-term outcomes for autistic youth with suicidal thoughts/behaviors and NSSI?
References
Schwartzman JM, Muscatello R, Corbett BA. Assessing Suicidal Thoughts and Behaviors and Nonsuicidal Self-Injury in Autistic and Non-Autistic Early Adolescents Using the Columbia Suicide Severity Rating Scale. Journal of Autism and Developmental Disorders 53.2 (2023): 559-570. doi:10.1177/136236132311621. PMID 30938385

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