Assessing and Managing Suicide Risk in Autistic Youth: Findings from a Clinician Survey in a Pediatric Psychiatric Emergency Setting / Paige E. CERVANTES in Journal of Autism and Developmental Disorders, 53-5 (May 2023)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 53-5 (May 2023) . - p.1755-1763 Titre : Assessing and Managing Suicide Risk in Autistic Youth: Findings from a Clinician Survey in a Pediatric Psychiatric Emergency Setting Type de document : texte imprimé Auteurs : Paige E. CERVANTES, Auteur ; Annie LI, Auteur ; Katherine A. SULLIVAN, Auteur ; Dana E.M. SEAG, Auteur ; Argelinda BARONI, Auteur ; Sarah M. HORWITZ, Auteur Article en page(s) : p.1755-1763 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Suicidal thoughts and behaviors (STB) and emergency department (ED) utilization are prevalent in autistic youth. The current study surveyed clinicians in a pediatric psychiatric ED to examine differences in attitudes on suicide-related care for autistic and non-autistic patient populations. While clinicians rated addressing STB in ASD as important and adaptations to care as necessary, less than half identified ASD as a suicide risk factor and confidence ratings were significantly lower for autistic patients. Previous ASD training predicted confidence and accounted for approximately 25% of the variance in confidence scores. Findings highlight the urgency to develop and disseminate ED clinician training, and address the lack of validated assessment tools, adapted suicide prevention practices, and evidence-based treatments for STB in autistic youth. En ligne : https://doi.org/10.1007/s10803-022-05448-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=500 [article] Assessing and Managing Suicide Risk in Autistic Youth: Findings from a Clinician Survey in a Pediatric Psychiatric Emergency Setting [texte imprimé] / Paige E. CERVANTES, Auteur ; Annie LI, Auteur ; Katherine A. SULLIVAN, Auteur ; Dana E.M. SEAG, Auteur ; Argelinda BARONI, Auteur ; Sarah M. HORWITZ, Auteur . - p.1755-1763. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 53-5 (May 2023) . - p.1755-1763 Index. décimale : PER Périodiques Résumé : Suicidal thoughts and behaviors (STB) and emergency department (ED) utilization are prevalent in autistic youth. The current study surveyed clinicians in a pediatric psychiatric ED to examine differences in attitudes on suicide-related care for autistic and non-autistic patient populations. While clinicians rated addressing STB in ASD as important and adaptations to care as necessary, less than half identified ASD as a suicide risk factor and confidence ratings were significantly lower for autistic patients. Previous ASD training predicted confidence and accounted for approximately 25% of the variance in confidence scores. Findings highlight the urgency to develop and disseminate ED clinician training, and address the lack of validated assessment tools, adapted suicide prevention practices, and evidence-based treatments for STB in autistic youth. En ligne : https://doi.org/10.1007/s10803-022-05448-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=500

Changes in Attitudes and Knowledge after Trainings in a Clinical Care Pathway for Autism Spectrum Disorder / Paige E. CERVANTES ; Fei GUO ; Cheryl R. STEIN ; Eugene OKPARAEKE ; Sarah KURIAKOSE ; Beryl FILTON ; Jennifer HAVENS ; Sarah M. HORWITZ in Journal of Autism and Developmental Disorders, 53-2 (February 2023)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 53-2 (February 2023) . - p.606-614 Titre : Changes in Attitudes and Knowledge after Trainings in a Clinical Care Pathway for Autism Spectrum Disorder Type de document : texte imprimé Auteurs : Paige E. CERVANTES, Auteur ; Fei GUO, Auteur ; Cheryl R. STEIN, Auteur ; Eugene OKPARAEKE, Auteur ; Sarah KURIAKOSE, Auteur ; Beryl FILTON, Auteur ; Jennifer HAVENS, Auteur ; Sarah M. HORWITZ, Auteur Article en page(s) : p.606-614 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Caring for individuals with autism spectrum disorder (ASD) can be complicated, especially when challenging behaviors are present. Providers may feel unprepared to work with these individuals because specialized training for medical and social service providers is limited. To increase access to specialized training, we modified an effective half-day ASD-Care Pathway training (Kuriakose et al. 2018) and disseminated it within five different settings. This short, focused training on strategies for preventing and reducing challenging behaviors of patients with ASD resulted in significant improvements in staff perceptions of challenging behaviors, increased comfort in working with the ASD population, and increased staff knowledge for evidence-informed practices. Implications, including the impact of sociodemographic characteristics on pre/post changes, and future directions are discussed. En ligne : https://doi.org/10.1007/s10803-020-04775-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=495 [article] Changes in Attitudes and Knowledge after Trainings in a Clinical Care Pathway for Autism Spectrum Disorder [texte imprimé] / Paige E. CERVANTES, Auteur ; Fei GUO, Auteur ; Cheryl R. STEIN, Auteur ; Eugene OKPARAEKE, Auteur ; Sarah KURIAKOSE, Auteur ; Beryl FILTON, Auteur ; Jennifer HAVENS, Auteur ; Sarah M. HORWITZ, Auteur . - p.606-614. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 53-2 (February 2023) . - p.606-614 Index. décimale : PER Périodiques Résumé : Caring for individuals with autism spectrum disorder (ASD) can be complicated, especially when challenging behaviors are present. Providers may feel unprepared to work with these individuals because specialized training for medical and social service providers is limited. To increase access to specialized training, we modified an effective half-day ASD-Care Pathway training (Kuriakose et al. 2018) and disseminated it within five different settings. This short, focused training on strategies for preventing and reducing challenging behaviors of patients with ASD resulted in significant improvements in staff perceptions of challenging behaviors, increased comfort in working with the ASD population, and increased staff knowledge for evidence-informed practices. Implications, including the impact of sociodemographic characteristics on pre/post changes, and future directions are discussed. En ligne : https://doi.org/10.1007/s10803-020-04775-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=495

Development of bipolar disorder and other comorbidity among youth with attention-deficit/hyperactivity disorder / L. Eugene ARNOLD in Journal of Child Psychology and Psychiatry, 61-2 (February 2020)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 61-2 (February 2020) . - p.175-181 Titre : Development of bipolar disorder and other comorbidity among youth with attention-deficit/hyperactivity disorder Type de document : texte imprimé Auteurs : L. Eugene ARNOLD, Auteur ; Anna R. VAN METER, Auteur ; Mary A. FRISTAD, Auteur ; Eric A. YOUNGSTROM, Auteur ; Boris BIRMAHER, Auteur ; Robert L. FINDLING, Auteur ; Sarah M. HORWITZ, Auteur ; Sarah R. BLACK, Auteur Article en page(s) : p.175-181 Langues : Anglais (eng) Mots-clés : Attention-deficit/hyperactivity disorder  bipolar disorder  comorbidity Index. décimale : PER Périodiques Résumé : OBJECTIVE: To examine development of bipolar spectrum disorders (BPSD) and other disorders in prospectively followed children with attention-deficit/hyperactivity disorder (ADHD). METHOD: In the Longitudinal Assessment of Manic Symptoms (LAMS) study, 531 of 685 children age 6-12 (most selected for scores > 12 on General Behavior Inventory 10-item Mania scale) had ADHD, 112 with BPSD, and 419 without. With annual assessments for 8 years, retention averaged 6.2 years. Chi-square analyses compared rate of new BPSD and other comorbidity between those with versus without baseline ADHD and between retained versus resolved ADHD diagnosis. Cox regression tested factors influencing speed of BPSD onset. RESULTS: Of 419 with baseline ADHD but not BPSD, 52 (12.4%) developed BPSD, compared with 16 of 110 (14.5%) without either baseline diagnosis. Those who developed BPSD had more nonmood comorbidity over the follow-up than those who did not develop BPSD (p = .0001). Of 170 who still had ADHD at eight-year follow-up (and not baseline BPSD), 26 (15.3%) had developed BPSD, compared with 16 of 186 (8.6%) who had ADHD without BPSD at baseline but lost the ADHD diagnosis (chi(2) = 3.82, p = .051). There was no statistical difference in whether ADHD persisted or not across new BPSD subtypes (chi(2) = 1.62, p = .446). Of those who developed BPSD, speed of onset was not significantly related to baseline ADHD (p = .566), baseline anxiety (p = .121), baseline depression (p = .185), baseline disruptive behavior disorder (p = .184), age (B = -.11 p = .092), maternal mania (p = .389), or paternal mania (B = .73, p = .056). Those who started with both diagnoses had more severe symptoms/impairment than those with later developed BPSD and reported having ADHD first. CONCLUSIONS: In a cohort selected for symptoms of mania at age 6-12, baseline ADHD was not a significant prospective risk factor for developing BPSD. However, persistence of ADHD may marginally mediate risk of BPSD, and early comorbidity of both diagnoses increases severity/impairment. En ligne : http://dx.doi.org/10.1111/jcpp.13122 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=415 [article] Development of bipolar disorder and other comorbidity among youth with attention-deficit/hyperactivity disorder [texte imprimé] / L. Eugene ARNOLD, Auteur ; Anna R. VAN METER, Auteur ; Mary A. FRISTAD, Auteur ; Eric A. YOUNGSTROM, Auteur ; Boris BIRMAHER, Auteur ; Robert L. FINDLING, Auteur ; Sarah M. HORWITZ, Auteur ; Sarah R. BLACK, Auteur . - p.175-181. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 61-2 (February 2020) . - p.175-181 Mots-clés : Attention-deficit/hyperactivity disorder  bipolar disorder  comorbidity Index. décimale : PER Périodiques Résumé : OBJECTIVE: To examine development of bipolar spectrum disorders (BPSD) and other disorders in prospectively followed children with attention-deficit/hyperactivity disorder (ADHD). METHOD: In the Longitudinal Assessment of Manic Symptoms (LAMS) study, 531 of 685 children age 6-12 (most selected for scores > 12 on General Behavior Inventory 10-item Mania scale) had ADHD, 112 with BPSD, and 419 without. With annual assessments for 8 years, retention averaged 6.2 years. Chi-square analyses compared rate of new BPSD and other comorbidity between those with versus without baseline ADHD and between retained versus resolved ADHD diagnosis. Cox regression tested factors influencing speed of BPSD onset. RESULTS: Of 419 with baseline ADHD but not BPSD, 52 (12.4%) developed BPSD, compared with 16 of 110 (14.5%) without either baseline diagnosis. Those who developed BPSD had more nonmood comorbidity over the follow-up than those who did not develop BPSD (p = .0001). Of 170 who still had ADHD at eight-year follow-up (and not baseline BPSD), 26 (15.3%) had developed BPSD, compared with 16 of 186 (8.6%) who had ADHD without BPSD at baseline but lost the ADHD diagnosis (chi(2) = 3.82, p = .051). There was no statistical difference in whether ADHD persisted or not across new BPSD subtypes (chi(2) = 1.62, p = .446). Of those who developed BPSD, speed of onset was not significantly related to baseline ADHD (p = .566), baseline anxiety (p = .121), baseline depression (p = .185), baseline disruptive behavior disorder (p = .184), age (B = -.11 p = .092), maternal mania (p = .389), or paternal mania (B = .73, p = .056). Those who started with both diagnoses had more severe symptoms/impairment than those with later developed BPSD and reported having ADHD first. CONCLUSIONS: In a cohort selected for symptoms of mania at age 6-12, baseline ADHD was not a significant prospective risk factor for developing BPSD. However, persistence of ADHD may marginally mediate risk of BPSD, and early comorbidity of both diagnoses increases severity/impairment. En ligne : http://dx.doi.org/10.1111/jcpp.13122 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=415

Does an Autism Spectrum Disorder Care Pathway Improve Care for Children and Adolescents with ASD in Inpatient Psychiatric Units? / Sarah KURIAKOSE in Journal of Autism and Developmental Disorders, 48-12 (December 2018)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 48-12 (December 2018) . - p.4082-4089 Titre : Does an Autism Spectrum Disorder Care Pathway Improve Care for Children and Adolescents with ASD in Inpatient Psychiatric Units? Type de document : texte imprimé Auteurs : Sarah KURIAKOSE, Auteur ; Beryl FILTON, Auteur ; Mollie MARR, Auteur ; Eugene OKPARAEKE, Auteur ; Paige E. CERVANTES, Auteur ; Matthew SIEGEL, Auteur ; Sarah M. HORWITZ, Auteur ; Jennifer HAVENS, Auteur Article en page(s) : p.4082-4089 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Care pathway  Inpatient hospitalization  Psychiatric Index. décimale : PER Périodiques Résumé : Youth with autism spectrum disorder (ASD) are psychiatrically hospitalized at high rates. Though specialized psychiatric units are effective, few specialized units exist. The ASD Care Pathway (ASD-CP) was developed as a scalable approach to improving care in general psychiatric units through staff training and a package of autism-specific intervention strategies. An evaluation of the effectiveness of the ASD-CP in a public hospital child psychiatric service compared 18 months (n = 17) versus 18 months (n = 20) post implementation. Average length of hospital stay decreased 40% (22.4-13.4 days) and use of crisis interventions decreased 77% (holds/restraints; 0.65/day to 0.15/day), though each result only approached statistical significance (p = 0.07; 0.057). This study provides preliminary evidence for improved outcomes after implementation of an ASD-CP. En ligne : http://dx.doi.org/10.1007/s10803-018-3666-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371 [article] Does an Autism Spectrum Disorder Care Pathway Improve Care for Children and Adolescents with ASD in Inpatient Psychiatric Units? [texte imprimé] / Sarah KURIAKOSE, Auteur ; Beryl FILTON, Auteur ; Mollie MARR, Auteur ; Eugene OKPARAEKE, Auteur ; Paige E. CERVANTES, Auteur ; Matthew SIEGEL, Auteur ; Sarah M. HORWITZ, Auteur ; Jennifer HAVENS, Auteur . - p.4082-4089. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 48-12 (December 2018) . - p.4082-4089 Mots-clés : Autism spectrum disorder  Care pathway  Inpatient hospitalization  Psychiatric Index. décimale : PER Périodiques Résumé : Youth with autism spectrum disorder (ASD) are psychiatrically hospitalized at high rates. Though specialized psychiatric units are effective, few specialized units exist. The ASD Care Pathway (ASD-CP) was developed as a scalable approach to improving care in general psychiatric units through staff training and a package of autism-specific intervention strategies. An evaluation of the effectiveness of the ASD-CP in a public hospital child psychiatric service compared 18 months (n = 17) versus 18 months (n = 20) post implementation. Average length of hospital stay decreased 40% (22.4-13.4 days) and use of crisis interventions decreased 77% (holds/restraints; 0.65/day to 0.15/day), though each result only approached statistical significance (p = 0.07; 0.057). This study provides preliminary evidence for improved outcomes after implementation of an ASD-CP. En ligne : http://dx.doi.org/10.1007/s10803-018-3666-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371

Improving Emergency Department Care for Suicidality in Autism: Perspectives from Autistic Youth, Caregivers, and Clinicians / Lawrence A. PALINKAS ; Greta R. CONLON ; Shira RICHARDS-RACHLIN ; Katherine A. SULLIVAN ; Argelinda BARONI ; Sarah M. HORWITZ in Journal of Autism and Developmental Disorders, 55-8 (August 2025)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 55-8 (August 2025) . - p.2820-2833 Titre : Improving Emergency Department Care for Suicidality in Autism: Perspectives from Autistic Youth, Caregivers, and Clinicians Type de document : texte imprimé Auteurs : Lawrence A. PALINKAS, Auteur ; Greta R. CONLON, Auteur ; Shira RICHARDS-RACHLIN, Auteur ; Katherine A. SULLIVAN, Auteur ; Argelinda BARONI, Auteur ; Sarah M. HORWITZ, Auteur Article en page(s) : p.2820-2833 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Purpose: Emergency department (ED) visits for suicidal ideation and self-harm are more prevalent in autistic than non-autistic youth. However, providers are typically offered insufficient guidance for addressing suicide risk in autistic youth, likely impacting confidence and care. Methods: In this pilot study, we conducted semi-structured interviews with 17 key members of the autism community (i.e., autistic youth with a history of suicidality, caregivers of autistic youth with a history of suicidality, autism specialist clinicians, ED clinicians) to inform the development of recommendations for modifying ED care for autistic patients, with a focus on suicide risk screening and management. Results: Participants reported on challenges they encountered receiving or providing care and/or recommendations for improving care. Participant perspectives were aligned, and four main categories emerged: accounting for autism features, connection and youth engagement in care, caregiver and family involvement, and service system issues. Conclusion: As research continues in the development of autism-specific suicide risk assessment tools and management strategies, it is essential we better equip providers to address suicide risk in autistic patients, particularly in ED settings. En ligne : https://doi.org/10.1007/s10803-024-06364-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=565 [article] Improving Emergency Department Care for Suicidality in Autism: Perspectives from Autistic Youth, Caregivers, and Clinicians [texte imprimé] / Lawrence A. PALINKAS, Auteur ; Greta R. CONLON, Auteur ; Shira RICHARDS-RACHLIN, Auteur ; Katherine A. SULLIVAN, Auteur ; Argelinda BARONI, Auteur ; Sarah M. HORWITZ, Auteur . - p.2820-2833. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 55-8 (August 2025) . - p.2820-2833 Index. décimale : PER Périodiques Résumé : Purpose: Emergency department (ED) visits for suicidal ideation and self-harm are more prevalent in autistic than non-autistic youth. However, providers are typically offered insufficient guidance for addressing suicide risk in autistic youth, likely impacting confidence and care. Methods: In this pilot study, we conducted semi-structured interviews with 17 key members of the autism community (i.e., autistic youth with a history of suicidality, caregivers of autistic youth with a history of suicidality, autism specialist clinicians, ED clinicians) to inform the development of recommendations for modifying ED care for autistic patients, with a focus on suicide risk screening and management. Results: Participants reported on challenges they encountered receiving or providing care and/or recommendations for improving care. Participant perspectives were aligned, and four main categories emerged: accounting for autism features, connection and youth engagement in care, caregiver and family involvement, and service system issues. Conclusion: As research continues in the development of autism-specific suicide risk assessment tools and management strategies, it is essential we better equip providers to address suicide risk in autistic patients, particularly in ED settings. En ligne : https://doi.org/10.1007/s10803-024-06364-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=565

Mental health service availability for autistic youth in New York City: An examination of the developmental disability and mental health service systems / Paige E. CERVANTES in Autism, 27-3 (April 2023)  

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Staff Perceptions and Implementation Fidelity of an Autism Spectrum Disorder Care Pathway on a Child/Adolescent General Psychiatric Inpatient Service / Lauren J. DONNELLY in Journal of Autism and Developmental Disorders, 51-1 (January 2021)  

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Suicidal ideation and intentional self-inflicted injury in autism spectrum disorder and intellectual disability: An examination of trends in youth emergency department visits in the United States from 2006 to 2014 / Paige E. CERVANTES in Autism, 27-1 (January 2023)  

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Sustainability of a Care Pathway for Children and Adolescents with Autism Spectrum Disorder on an Inpatient Psychiatric Service / Paige E. CERVANTES in Journal of Autism and Developmental Disorders, 49-8 (August 2019)  

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Trends Over a Decade in NIH Funding for Autism Spectrum Disorder Services Research / Paige E. CERVANTES in Journal of Autism and Developmental Disorders, 51-8 (August 2021)  

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