Advancing Our Understanding of Self-harm, Suicidal Thoughts and Behaviours in Autism / Sarah A. CASSIDY in Journal of Autism and Developmental Disorders, 50-10 (October 2020)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 50-10 (October 2020) . - p.3445-3449 Titre : Advancing Our Understanding of Self-harm, Suicidal Thoughts and Behaviours in Autism Type de document : texte imprimé Auteurs : Sarah A. CASSIDY, Auteur ; Ashley E. ROBERTSON, Auteur ; Ellen TOWNSEND, Auteur ; Rory C. O'CONNOR, Auteur ; Jacqui RODGERS, Auteur Article en page(s) : p.3445-3449 Langues : Anglais (eng) Index. décimale : PER Périodiques En ligne : http://dx.doi.org/10.1007/s10803-020-04643-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432 [article] Advancing Our Understanding of Self-harm, Suicidal Thoughts and Behaviours in Autism [texte imprimé] / Sarah A. CASSIDY, Auteur ; Ashley E. ROBERTSON, Auteur ; Ellen TOWNSEND, Auteur ; Rory C. O'CONNOR, Auteur ; Jacqui RODGERS, Auteur . - p.3445-3449. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 50-10 (October 2020) . - p.3445-3449 Index. décimale : PER Périodiques En ligne : http://dx.doi.org/10.1007/s10803-020-04643-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432

Exploring Patterns of Self-Harm in Autistic Adults Using the Card Sort Task for Self-Harm / Mirabel PELTON in Autism, 30-7 (July 2026)  

Public ISBD [article]  inAutism > 30-7 (July 2026) . - p.1802-1815 Titre : Exploring Patterns of Self-Harm in Autistic Adults Using the Card Sort Task for Self-Harm Type de document : texte imprimé Auteurs : Mirabel PELTON, Auteur ; Victoria NEWELL, Auteur ; Blandine FRENCH, Auteur ; Ruth WADMAN, Auteur ; Ellen TOWNSEND, Auteur ; Sarah CASSIDY, Auteur Article en page(s) : p.1802-1815 Langues : Anglais (eng) Mots-clés : anxiety  autism  Card Sort Task for Self-Harm  emotional distress  self-harm  suicide Index. décimale : PER Périodiques Résumé : Autistic adults self-harm more often than non-autistic adults, but there are no tools to assess patterns of self-harm in autistic people. This study aimed to (1) review the accessibility of a novel visual task – the Card Sort Task for Self-Harm (CaTS) – to explore self-harm with autistic adults and (2) to pilot the CaTS to identify proximal and distal contributing factors leading to self-harm and experiences following self-harm. First, autistic adults (n = 5) with lived experience of self-harm reviewed the CaTS for clarity and accessibility. Second, we undertook a pilot administration of the CaTS and used sequence analysis to explore significant transitions between factors before and after self-harm. Participants (n = 29, autistic or possibly autistic, female = 82%, mean age = 41.62) selected, on average, 42 cards to describe self-harm. Most frequently selected cards described agitation (n = 25), mental pain (n = 22) and depression (n = 22), while most infrequently collected cards included being in a gang and talking to a teacher (n = 0). Agitation and acting on impulse preceded self-harm. Feeling better, worse, exhausted and hopeless followed self-harm. Improving emotion regulation and meeting autistic communication needs could reduce the transition to self-harm. The CaTS offers a systematic approach to explore self-harm in autistic adults.Lay Abstract Why did we do this study?Autistic adults self-harm more often than people who are not autistic. This is particularly worrying because self-harm is something that can contribute to suicide. We know that autistic people feel that their experience of self-harm is not well understood by other people, such as doctors.What did we want to know?We wanted to know if the card sort task for self-harm (called the CaTS for short) is a useful way to explore self-harm with autistic adults.What did we do?First, we worked with five autistic adults to make sure the CaTS is clear and works for autistic people. Second, we invited autistic and non-autistic adults to do the CaTS. To do the CATS, someone chooses the cards that are relevant to their experience and puts them on a timeline to explain what self-harm is like for them.What did we find?We found that (1) the CaTS is helpful and accessible to explore self-harm with autistic adults and (2) the CaTS uncovered patterns of self-harm. Twenty-nine U.K.-based autistic adults did the CaTS: most were female (82%, average age was around 42). Participants picked, on average, 42 cards to describe self-harm. The cards that were chosen most often described agitation, mental pain and depression. The cards that were chosen least described being in a gang and talking to a teacher. The order of the cards suggested that people felt agitated and acted impulsively before self-harm. After self-harm, they felt better, worse and hopeless. We found that it is safe and feasible to do the CaTS with autistic people. Support could consider how best to support people who are impulsive and how to prevent people accessing the means to hurt themselves. En ligne : https://dx.doi.org/10.1177/13623613261447926 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=590 [article] Exploring Patterns of Self-Harm in Autistic Adults Using the Card Sort Task for Self-Harm [texte imprimé] / Mirabel PELTON, Auteur ; Victoria NEWELL, Auteur ; Blandine FRENCH, Auteur ; Ruth WADMAN, Auteur ; Ellen TOWNSEND, Auteur ; Sarah CASSIDY, Auteur . - p.1802-1815. Langues : Anglais (eng) in Autism > 30-7 (July 2026) . - p.1802-1815 Mots-clés : anxiety  autism  Card Sort Task for Self-Harm  emotional distress  self-harm  suicide Index. décimale : PER Périodiques Résumé : Autistic adults self-harm more often than non-autistic adults, but there are no tools to assess patterns of self-harm in autistic people. This study aimed to (1) review the accessibility of a novel visual task – the Card Sort Task for Self-Harm (CaTS) – to explore self-harm with autistic adults and (2) to pilot the CaTS to identify proximal and distal contributing factors leading to self-harm and experiences following self-harm. First, autistic adults (n = 5) with lived experience of self-harm reviewed the CaTS for clarity and accessibility. Second, we undertook a pilot administration of the CaTS and used sequence analysis to explore significant transitions between factors before and after self-harm. Participants (n = 29, autistic or possibly autistic, female = 82%, mean age = 41.62) selected, on average, 42 cards to describe self-harm. Most frequently selected cards described agitation (n = 25), mental pain (n = 22) and depression (n = 22), while most infrequently collected cards included being in a gang and talking to a teacher (n = 0). Agitation and acting on impulse preceded self-harm. Feeling better, worse, exhausted and hopeless followed self-harm. Improving emotion regulation and meeting autistic communication needs could reduce the transition to self-harm. The CaTS offers a systematic approach to explore self-harm in autistic adults.Lay Abstract Why did we do this study?Autistic adults self-harm more often than people who are not autistic. This is particularly worrying because self-harm is something that can contribute to suicide. We know that autistic people feel that their experience of self-harm is not well understood by other people, such as doctors.What did we want to know?We wanted to know if the card sort task for self-harm (called the CaTS for short) is a useful way to explore self-harm with autistic adults.What did we do?First, we worked with five autistic adults to make sure the CaTS is clear and works for autistic people. Second, we invited autistic and non-autistic adults to do the CaTS. To do the CATS, someone chooses the cards that are relevant to their experience and puts them on a timeline to explain what self-harm is like for them.What did we find?We found that (1) the CaTS is helpful and accessible to explore self-harm with autistic adults and (2) the CaTS uncovered patterns of self-harm. Twenty-nine U.K.-based autistic adults did the CaTS: most were female (82%, average age was around 42). Participants picked, on average, 42 cards to describe self-harm. The cards that were chosen most often described agitation, mental pain and depression. The cards that were chosen least described being in a gang and talking to a teacher. The order of the cards suggested that people felt agitated and acted impulsively before self-harm. After self-harm, they felt better, worse and hopeless. We found that it is safe and feasible to do the CaTS with autistic people. Support could consider how best to support people who are impulsive and how to prevent people accessing the means to hurt themselves. En ligne : https://dx.doi.org/10.1177/13623613261447926 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=590

Is Camouflaging Autistic Traits Associated with Suicidal Thoughts and Behaviours? Expanding the Interpersonal Psychological Theory of Suicide in an Undergraduate Student Sample / Sarah A. CASSIDY in Journal of Autism and Developmental Disorders, 50-10 (October 2020)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 50-10 (October 2020) . - p.3638-3648 Titre : Is Camouflaging Autistic Traits Associated with Suicidal Thoughts and Behaviours? Expanding the Interpersonal Psychological Theory of Suicide in an Undergraduate Student Sample Type de document : texte imprimé Auteurs : Sarah A. CASSIDY, Auteur ; K. GOULD, Auteur ; Ellen TOWNSEND, Auteur ; Mirabel K. PELTON, Auteur ; Ashley E. ROBERTSON, Auteur ; Jacqui RODGERS, Auteur Article en page(s) : p.3638-3648 Langues : Anglais (eng) Mots-clés : Autism spectrum conditions  Autistic traits  Broader autism phenotype  Camouflaging  Interpersonal psychological theory of suicide  Masking  Suicidality  Suicide Index. décimale : PER Périodiques Résumé : The current study explored whether people who camouflage autistic traits are more likely to experience thwarted belongingness and suicidality, as predicted by the Interpersonal Psychological Theory of Suicide (IPTS). 160 undergraduate students (86.9% female, 18-23 years) completed a cross-sectional online survey from 8th February to 30th May 2019 including self-report measures of thwarted belongingness and perceived burdensomeness, autistic traits, depression, anxiety, camouflaging autistic traits, and lifetime suicidality. Results suggest that camouflaging autistic traits is associated with increased risk of experiencing thwarted belongingness and lifetime suicidality. It is important for suicide theories such as the IPTS to include variables relevant to the broader autism phenotype, to increase applicability of models to both autistic and non-autistic people. En ligne : http://dx.doi.org/10.1007/s10803-019-04323-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432 [article] Is Camouflaging Autistic Traits Associated with Suicidal Thoughts and Behaviours? Expanding the Interpersonal Psychological Theory of Suicide in an Undergraduate Student Sample [texte imprimé] / Sarah A. CASSIDY, Auteur ; K. GOULD, Auteur ; Ellen TOWNSEND, Auteur ; Mirabel K. PELTON, Auteur ; Ashley E. ROBERTSON, Auteur ; Jacqui RODGERS, Auteur . - p.3638-3648. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 50-10 (October 2020) . - p.3638-3648 Mots-clés : Autism spectrum conditions  Autistic traits  Broader autism phenotype  Camouflaging  Interpersonal psychological theory of suicide  Masking  Suicidality  Suicide Index. décimale : PER Périodiques Résumé : The current study explored whether people who camouflage autistic traits are more likely to experience thwarted belongingness and suicidality, as predicted by the Interpersonal Psychological Theory of Suicide (IPTS). 160 undergraduate students (86.9% female, 18-23 years) completed a cross-sectional online survey from 8th February to 30th May 2019 including self-report measures of thwarted belongingness and perceived burdensomeness, autistic traits, depression, anxiety, camouflaging autistic traits, and lifetime suicidality. Results suggest that camouflaging autistic traits is associated with increased risk of experiencing thwarted belongingness and lifetime suicidality. It is important for suicide theories such as the IPTS to include variables relevant to the broader autism phenotype, to increase applicability of models to both autistic and non-autistic people. En ligne : http://dx.doi.org/10.1007/s10803-019-04323-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432

A systematic review and meta-analysis of suicidality in autistic and possibly autistic people without co-occurring intellectual disability / Lucy PHILLIPS ; Chris JONES ; Ellen TOWNSEND ; Caroline RICHARDS ; Sarah A. CASSIDY in Molecular Autism, 14 (2023)  

Public ISBD [article]  inMolecular Autism > 14 (2023) . - 12 p. Titre : A systematic review and meta-analysis of suicidality in autistic and possibly autistic people without co-occurring intellectual disability Type de document : texte imprimé Auteurs : Lucy PHILLIPS, Auteur ; Chris JONES, Auteur ; Ellen TOWNSEND, Auteur ; Caroline RICHARDS, Auteur ; Sarah A. CASSIDY, Auteur Article en page(s) : 12 p. Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : BACKGROUND: Suicidality is highly prevalent in autistic people without co-occurring intellectual disabilities, and high autistic traits are found in adults who have attempted suicide. However, prevalence rates for both autistic and possibly autistic people have not been synthesised meta-analytically. AIMS: To (1) calculate pooled prevalence estimates of suicidality in autistic people and possibly autistic people without co-occurring intellectual disability; (2) evaluate the influence of participant and study level characteristics on heterogeneity; and (3) determine the quality of evidence. METHODS: Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were followed. PsycINFO, Embase, MEDLINE and Web of Science were systematically searched from 1992 to January 25, 2022. Empirical quantitative studies reporting prevalence of suicidal ideation, suicide plans, or suicide attempts and behaviours were considered for inclusion. Random effects models were used to estimate pooled prevalence of each suicidality outcome with 95% confidence intervals. Heterogeneity was explored using sensitivity and moderator analyses. RESULTS: Data from 48,186 autistic and possibly autistic participants in 36 primary studies were meta-analysed. Pooled prevalence of suicidal ideation was 34.2% (95% CI 27.9-40.5), suicide plans 21.9% (13.4-30.4), and suicidal attempts and behaviours 24.3% (18.9-29.6). High levels of heterogeneity (I(2)>75) were observed in all three analyses. Estimates did not differ between autistic or possibly autistic samples. Geographical location (p=0.005), transgender or gender non-conforming samples (p<0.001) and type of report (p<0.001) significantly moderated suicidal ideation, whereas age group (p=0.001) and measure of suicidality (p=0.001) significantly moderated suicide plans. There was a significant association between the proportion of male participants and prevalence of suicide plans, with a decrease in the proportion of males for every unit change of suicide plan prevalence (p=0.013). No variables were found to moderate estimates of suicide attempts and behaviours. CONCLUSIONS: The results confirm suicidality is highly prevalent in both autistic and possibly autistic people without co-occurring intellectual disability and highlights potential moderators. Possibly autistic individuals require more attention in clinical and research considerations going forward to further understand and prevent suicide in both groups. En ligne : http://dx.doi.org/10.1186/s13229-023-00544-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=513 [article] A systematic review and meta-analysis of suicidality in autistic and possibly autistic people without co-occurring intellectual disability [texte imprimé] / Lucy PHILLIPS, Auteur ; Chris JONES, Auteur ; Ellen TOWNSEND, Auteur ; Caroline RICHARDS, Auteur ; Sarah A. CASSIDY, Auteur . - 12 p. Langues : Anglais (eng) in Molecular Autism > 14 (2023) . - 12 p. Index. décimale : PER Périodiques Résumé : BACKGROUND: Suicidality is highly prevalent in autistic people without co-occurring intellectual disabilities, and high autistic traits are found in adults who have attempted suicide. However, prevalence rates for both autistic and possibly autistic people have not been synthesised meta-analytically. AIMS: To (1) calculate pooled prevalence estimates of suicidality in autistic people and possibly autistic people without co-occurring intellectual disability; (2) evaluate the influence of participant and study level characteristics on heterogeneity; and (3) determine the quality of evidence. METHODS: Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were followed. PsycINFO, Embase, MEDLINE and Web of Science were systematically searched from 1992 to January 25, 2022. Empirical quantitative studies reporting prevalence of suicidal ideation, suicide plans, or suicide attempts and behaviours were considered for inclusion. Random effects models were used to estimate pooled prevalence of each suicidality outcome with 95% confidence intervals. Heterogeneity was explored using sensitivity and moderator analyses. RESULTS: Data from 48,186 autistic and possibly autistic participants in 36 primary studies were meta-analysed. Pooled prevalence of suicidal ideation was 34.2% (95% CI 27.9-40.5), suicide plans 21.9% (13.4-30.4), and suicidal attempts and behaviours 24.3% (18.9-29.6). High levels of heterogeneity (I(2)>75) were observed in all three analyses. Estimates did not differ between autistic or possibly autistic samples. Geographical location (p=0.005), transgender or gender non-conforming samples (p<0.001) and type of report (p<0.001) significantly moderated suicidal ideation, whereas age group (p=0.001) and measure of suicidality (p=0.001) significantly moderated suicide plans. There was a significant association between the proportion of male participants and prevalence of suicide plans, with a decrease in the proportion of males for every unit change of suicide plan prevalence (p=0.013). No variables were found to moderate estimates of suicide attempts and behaviours. CONCLUSIONS: The results confirm suicidality is highly prevalent in both autistic and possibly autistic people without co-occurring intellectual disability and highlights potential moderators. Possibly autistic individuals require more attention in clinical and research considerations going forward to further understand and prevent suicide in both groups. En ligne : http://dx.doi.org/10.1186/s13229-023-00544-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=513

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