학술논문

Suicidal Ideation and Self-inflicted Injury in Medicare Enrolled Autistic Adults With and Without Co-occurring Intellectual Disability.
Document Type
Article
Source
Journal of Autism & Developmental Disorders. Oct2020, Vol. 50 Issue 10, p3489-3495. 7p. 2 Charts.
Subject
*AUTISM
*CONFIDENCE intervals
*MEDICARE
*PEOPLE with intellectual disabilities
*SELF-mutilation
*SUICIDAL behavior
*SUICIDE
*LOGISTIC regression analysis
*SUICIDAL ideation
*CASE-control method
*DESCRIPTIVE statistics
*ODDS ratio
*PSYCHOLOGICAL factors
Language
ISSN
0162-3257
Abstract
Suicidality is significantly more common in autistic adults than the general population, yet the factors that increase risk for suicidality among autistic adults remain largely unknown. We identified characteristics associated with suicidal ideation and suicide attempts/self-inflicted injury in a U.S. national sample of Medicare-enrolled autistic adults. We conducted a case–control study of autistic adults aged 18–59 years (n = 21,792). Younger age, white race, depression disorders, and psychiatric healthcare utilization were associated with increased odds of suicidal ideation and suicide attempts. Co-occurring intellectual disability was associated with significantly greater odds of a suicide attempt, but lower odds of suicidal ideation. Findings underscore the need for improved methods to identify ideation prior to attempt among adults with autism and intellectual disability. [ABSTRACT FROM AUTHOR]