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Suicidal Thoughts and Behaviours Among Autistic Adults Presenting to the Psychiatric Emergency Department: An Exploratory Chart Review / Patrick JACHYRA in Journal of Autism and Developmental Disorders, 52-5 (May 2022)
[article]
Titre : Suicidal Thoughts and Behaviours Among Autistic Adults Presenting to the Psychiatric Emergency Department: An Exploratory Chart Review Type de document : Texte imprimé et/ou numérique Auteurs : Patrick JACHYRA, Auteur ; Meng-Chuan LAI, Auteur ; Juveria ZAHEER, Auteur ; Natasha FERNANDES, Auteur ; Michelle DALE, Auteur ; Amanda SAWYER, Auteur ; Yona LUNSKY, Auteur Article en page(s) : p.2367-2375 Langues : Anglais (eng) Mots-clés : Adult Autism Spectrum Disorder/diagnosis Autistic Disorder/diagnosis/psychology Emergency Service, Hospital Humans Retrospective Studies Suicidal Ideation Autism Chart review Emergency department Interpersonal conflicts Life transition Rumination Suicide Index. décimale : PER Périodiques Résumé : Despite increasing attention on suicidality in autistic people, we know little about suicidal presentations when autistic individuals present to hospital emergency departments (ED). We conducted an exploratory retrospective chart review of suicidal thoughts and behaviours (STB) of autistic adults who presented to a psychiatric ED. The analysis included 16 charts over a 10-week period. Findings highlight that reported STB were not always the presenting issue. Life transitions and interpersonal conflicts were common antecedents, and active rumination about STB was distressing and fatiguing. Findings imply that ED visits serve as important opportunities for suicidal risk reduction for autistic individuals, through implementation of strategies for identification of STB such as active screening, and the provision of suicide resources tailored to autistic people. En ligne : http://dx.doi.org/10.1007/s10803-021-05102-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476
in Journal of Autism and Developmental Disorders > 52-5 (May 2022) . - p.2367-2375[article] Suicidal Thoughts and Behaviours Among Autistic Adults Presenting to the Psychiatric Emergency Department: An Exploratory Chart Review [Texte imprimé et/ou numérique] / Patrick JACHYRA, Auteur ; Meng-Chuan LAI, Auteur ; Juveria ZAHEER, Auteur ; Natasha FERNANDES, Auteur ; Michelle DALE, Auteur ; Amanda SAWYER, Auteur ; Yona LUNSKY, Auteur . - p.2367-2375.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-5 (May 2022) . - p.2367-2375
Mots-clés : Adult Autism Spectrum Disorder/diagnosis Autistic Disorder/diagnosis/psychology Emergency Service, Hospital Humans Retrospective Studies Suicidal Ideation Autism Chart review Emergency department Interpersonal conflicts Life transition Rumination Suicide Index. décimale : PER Périodiques Résumé : Despite increasing attention on suicidality in autistic people, we know little about suicidal presentations when autistic individuals present to hospital emergency departments (ED). We conducted an exploratory retrospective chart review of suicidal thoughts and behaviours (STB) of autistic adults who presented to a psychiatric ED. The analysis included 16 charts over a 10-week period. Findings highlight that reported STB were not always the presenting issue. Life transitions and interpersonal conflicts were common antecedents, and active rumination about STB was distressing and fatiguing. Findings imply that ED visits serve as important opportunities for suicidal risk reduction for autistic individuals, through implementation of strategies for identification of STB such as active screening, and the provision of suicide resources tailored to autistic people. En ligne : http://dx.doi.org/10.1007/s10803-021-05102-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476 A retrospective chart study: The pathway to a diagnosis for adults referred for ASD assessment / Hilde M. GEURTS in Autism, 16-3 (May 2012)
[article]
Titre : A retrospective chart study: The pathway to a diagnosis for adults referred for ASD assessment Type de document : Texte imprimé et/ou numérique Auteurs : Hilde M. GEURTS, Auteur ; Marcel D. JANSEN, Auteur Année de publication : 2012 Article en page(s) : p.299-305 Langues : Anglais (eng) Mots-clés : autism asperger PDD-NOS adults chart review Index. décimale : PER Périodiques Résumé : Charts of 125 adults (18 to 82 years), referred to an autism expert team for Autism Spectrum Disorder (ASD) assessment, were reviewed to explore the pathway to an adulthood ASD diagnosis. The participants first contacted the mental health care clinic at a median age of 19 years (range 2 to 78 years). Men contacted the clinic slightly earlier than women. The main referral reasons were social problems, feelings of anxiety and mood disturbances. The most common earlier diagnoses were anxiety and mood disorders or psychosis-related disorders. These diagnoses were more common in women than in men. Surprisingly few differences emerged between those who finally received an ASD diagnosis and those who did not. However, those with an ASD diagnosis contacted the clinic a mean of 15 years earlier and less frequently received different former diagnoses, although the type of diagnoses did not differ. The diagnostic criteria that were prevalent during early childhood of these adults did not influence their diagnostic history. A quarter of these clients were known with social problems within the mental health care system, but ASD was not assessed. Hence, the current study shows that the pathways to an adulthood ASD diagnosis are very heterogeneous. En ligne : http://dx.doi.org/10.1177/1362361311421775 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=166
in Autism > 16-3 (May 2012) . - p.299-305[article] A retrospective chart study: The pathway to a diagnosis for adults referred for ASD assessment [Texte imprimé et/ou numérique] / Hilde M. GEURTS, Auteur ; Marcel D. JANSEN, Auteur . - 2012 . - p.299-305.
Langues : Anglais (eng)
in Autism > 16-3 (May 2012) . - p.299-305
Mots-clés : autism asperger PDD-NOS adults chart review Index. décimale : PER Périodiques Résumé : Charts of 125 adults (18 to 82 years), referred to an autism expert team for Autism Spectrum Disorder (ASD) assessment, were reviewed to explore the pathway to an adulthood ASD diagnosis. The participants first contacted the mental health care clinic at a median age of 19 years (range 2 to 78 years). Men contacted the clinic slightly earlier than women. The main referral reasons were social problems, feelings of anxiety and mood disturbances. The most common earlier diagnoses were anxiety and mood disorders or psychosis-related disorders. These diagnoses were more common in women than in men. Surprisingly few differences emerged between those who finally received an ASD diagnosis and those who did not. However, those with an ASD diagnosis contacted the clinic a mean of 15 years earlier and less frequently received different former diagnoses, although the type of diagnoses did not differ. The diagnostic criteria that were prevalent during early childhood of these adults did not influence their diagnostic history. A quarter of these clients were known with social problems within the mental health care system, but ASD was not assessed. Hence, the current study shows that the pathways to an adulthood ASD diagnosis are very heterogeneous. En ligne : http://dx.doi.org/10.1177/1362361311421775 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=166 Assessment of autonomic symptom scales in patients with neurodevelopmental diagnoses using electronic health record data / A. S. DICRISCIO in Research in Autism Spectrum Disorders, 108 (October 2023)
[article]
Titre : Assessment of autonomic symptom scales in patients with neurodevelopmental diagnoses using electronic health record data Type de document : Texte imprimé et/ou numérique Auteurs : A. S. DICRISCIO, Auteur ; D. BEILER, Auteur ; J. SMITH, Auteur ; P. ASDELL, Auteur ; S. DICKEY, Auteur ; M. DISTEFANO, Auteur ; V. TROIANI, Auteur Article en page(s) : p.102234 Mots-clés : Autonomic function Chart review Autism spectrum disorder Developmental brain dysfunction Individual differences Index. décimale : PER Périodiques Résumé : Background Sleep disturbances, gastrointestinal problems, and atypical heart rate are commonly observed in patients with autism spectrum disorder (ASD) and may relate to underlying function of the autonomic nervous system (ANS). The overall objective of the current study was to quantitatively characterize features of ANS function using symptom scales and available electronic health record (EHR) data in a clinically and genetically characterized pediatric cohort. Methods We assessed features of ANS function via chart review of patient records adapted from items drawn from a clinical research questionnaire of autonomic symptoms. This procedure coded for the presence and/or absence of targeted symptoms and was completed in 3 groups of patients, including patients with a clinical neurodevelopmental diagnosis and identified genetic etiology (NPD, n = 244), those with an ASD diagnosis with no known genetic cause (ASD, n = 159), and age and sex matched controls (MC, n = 213). Symptoms were assessed across four main categories: (1) Mood, Behavior, and Emotion; (2) Secretomotor, Sensory Integration; (3) Urinary, Gastrointestinal, and Digestion; and (4) Circulation, Thermoregulation, Circadian function, and Sleep/Wake cycles. Results Chart review scores indicate an increased rate of autonomic symptoms across all four sections in our NPD group as compared to scores with ASD and/or MC. Additionally, we note several significant relationships between individual differences in autonomic symptoms and quantitative ASD traits. Conclusion These results highlight EHR review as a potentially useful method for quantifying variance in symptoms adapted from a questionnaire or survey. Further, using this method indicates that autonomic features are more prevalent in children with genetic disorders conferring risk for ASD and other neurodevelopmental diagnoses. En ligne : https://doi.org/10.1016/j.rasd.2023.102234 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=514
in Research in Autism Spectrum Disorders > 108 (October 2023) . - p.102234[article] Assessment of autonomic symptom scales in patients with neurodevelopmental diagnoses using electronic health record data [Texte imprimé et/ou numérique] / A. S. DICRISCIO, Auteur ; D. BEILER, Auteur ; J. SMITH, Auteur ; P. ASDELL, Auteur ; S. DICKEY, Auteur ; M. DISTEFANO, Auteur ; V. TROIANI, Auteur . - p.102234.
in Research in Autism Spectrum Disorders > 108 (October 2023) . - p.102234
Mots-clés : Autonomic function Chart review Autism spectrum disorder Developmental brain dysfunction Individual differences Index. décimale : PER Périodiques Résumé : Background Sleep disturbances, gastrointestinal problems, and atypical heart rate are commonly observed in patients with autism spectrum disorder (ASD) and may relate to underlying function of the autonomic nervous system (ANS). The overall objective of the current study was to quantitatively characterize features of ANS function using symptom scales and available electronic health record (EHR) data in a clinically and genetically characterized pediatric cohort. Methods We assessed features of ANS function via chart review of patient records adapted from items drawn from a clinical research questionnaire of autonomic symptoms. This procedure coded for the presence and/or absence of targeted symptoms and was completed in 3 groups of patients, including patients with a clinical neurodevelopmental diagnosis and identified genetic etiology (NPD, n = 244), those with an ASD diagnosis with no known genetic cause (ASD, n = 159), and age and sex matched controls (MC, n = 213). Symptoms were assessed across four main categories: (1) Mood, Behavior, and Emotion; (2) Secretomotor, Sensory Integration; (3) Urinary, Gastrointestinal, and Digestion; and (4) Circulation, Thermoregulation, Circadian function, and Sleep/Wake cycles. Results Chart review scores indicate an increased rate of autonomic symptoms across all four sections in our NPD group as compared to scores with ASD and/or MC. Additionally, we note several significant relationships between individual differences in autonomic symptoms and quantitative ASD traits. Conclusion These results highlight EHR review as a potentially useful method for quantifying variance in symptoms adapted from a questionnaire or survey. Further, using this method indicates that autonomic features are more prevalent in children with genetic disorders conferring risk for ASD and other neurodevelopmental diagnoses. En ligne : https://doi.org/10.1016/j.rasd.2023.102234 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=514
[article]
Titre : Does a claims diagnosis of autism mean a true case? Type de document : Texte imprimé et/ou numérique Auteurs : James P. BURKE, Auteur ; Anjali JAIN, Auteur ; Wenya YANG, Auteur ; Jonathan P. KELLY, Auteur ; Marygrace KAISER, Auteur ; Laura BECKER, Auteur ; Lindsay LAWER, Auteur ; Craig J. NEWSCHAFFER, Auteur Article en page(s) : p.321-330 Langues : Anglais (eng) Mots-clés : Administrative data autism chart review validation study Index. décimale : PER Périodiques Résumé : The purpose of this study was to validate autism spectrum disorder cases identified through claims-based case identification algorithms against a clinical review of medical charts. Charts were reviewed for 432 children who fell into one of the three following groups: (a) more than or equal to two claims with an autism spectrum disorder diagnosis code (n = 182), (b) one claim with an autism spectrum disorder diagnosis code (n = 190), and (c) those who had no claims for autism spectrum disorder but had claims for other developmental or neurological conditions (n = 60). The algorithm-based diagnoses were compared with documented autism spectrum disorders in the medical charts. The algorithm requiring more than or equal to two claims for autism spectrum disorder generated a positive predictive value of 87.4%, which suggests that such an algorithm is a valid means to identify true autism spectrum disorder cases in claims data. En ligne : http://dx.doi.org/10.1177/1362361312467709 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=229
in Autism > 18-3 (April 2014) . - p.321-330[article] Does a claims diagnosis of autism mean a true case? [Texte imprimé et/ou numérique] / James P. BURKE, Auteur ; Anjali JAIN, Auteur ; Wenya YANG, Auteur ; Jonathan P. KELLY, Auteur ; Marygrace KAISER, Auteur ; Laura BECKER, Auteur ; Lindsay LAWER, Auteur ; Craig J. NEWSCHAFFER, Auteur . - p.321-330.
Langues : Anglais (eng)
in Autism > 18-3 (April 2014) . - p.321-330
Mots-clés : Administrative data autism chart review validation study Index. décimale : PER Périodiques Résumé : The purpose of this study was to validate autism spectrum disorder cases identified through claims-based case identification algorithms against a clinical review of medical charts. Charts were reviewed for 432 children who fell into one of the three following groups: (a) more than or equal to two claims with an autism spectrum disorder diagnosis code (n = 182), (b) one claim with an autism spectrum disorder diagnosis code (n = 190), and (c) those who had no claims for autism spectrum disorder but had claims for other developmental or neurological conditions (n = 60). The algorithm-based diagnoses were compared with documented autism spectrum disorders in the medical charts. The algorithm requiring more than or equal to two claims for autism spectrum disorder generated a positive predictive value of 87.4%, which suggests that such an algorithm is a valid means to identify true autism spectrum disorder cases in claims data. En ligne : http://dx.doi.org/10.1177/1362361312467709 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=229 Validation of Autism Spectrum Disorder Diagnoses in Large Healthcare Systems with Electronic Medical Records / Karen J. COLEMAN in Journal of Autism and Developmental Disorders, 45-7 (July 2015)
[article]
Titre : Validation of Autism Spectrum Disorder Diagnoses in Large Healthcare Systems with Electronic Medical Records Type de document : Texte imprimé et/ou numérique Auteurs : Karen J. COLEMAN, Auteur ; Marta A. LUTSKY, Auteur ; Vincent YAU, Auteur ; Yinge QIAN, Auteur ; Magdalena E. POMICHOWSKI, Auteur ; Phillip M. CRAWFORD, Auteur ; Frances L. LYNCH, Auteur ; Jeanne M. MADDEN, Auteur ; Ashli OWEN-SMITH, Auteur ; John A. PEARSON, Auteur ; Kathryn A. PEARSON, Auteur ; Donna RUSINAK, Auteur ; Virginia P. QUINN, Auteur ; Lisa A. CROEN, Auteur Année de publication : 2015 Article en page(s) : p.1989-1996 Langues : Anglais (eng) Mots-clés : Population-based Racial/ethnic minorities Chart review Children Adolescents Index. décimale : PER Périodiques Résumé : To identify factors associated with valid Autism Spectrum Disorder (ASD) diagnoses from electronic sources in large healthcare systems. We examined 1,272 charts from ASD diagnosed youth <18 years old. Expert reviewers classified diagnoses as confirmed, probable, possible, ruled out, or not enough information. A total of 845 were classified with 81 % as a confirmed, probable, or possible ASD diagnosis. The predictors of valid ASD diagnoses were >2 diagnoses in the medical record (OR 2.94; 95 % CI 2.03–4.25; p < 0.001) and being male (OR 1.51; 95 % CI 1.05–2.17; p = 0.03). In large integrated healthcare settings, at least two diagnoses can be used to identify ASD patients for population-based research. En ligne : http://dx.doi.org/10.1007/s10803-015-2358-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=261
in Journal of Autism and Developmental Disorders > 45-7 (July 2015) . - p.1989-1996[article] Validation of Autism Spectrum Disorder Diagnoses in Large Healthcare Systems with Electronic Medical Records [Texte imprimé et/ou numérique] / Karen J. COLEMAN, Auteur ; Marta A. LUTSKY, Auteur ; Vincent YAU, Auteur ; Yinge QIAN, Auteur ; Magdalena E. POMICHOWSKI, Auteur ; Phillip M. CRAWFORD, Auteur ; Frances L. LYNCH, Auteur ; Jeanne M. MADDEN, Auteur ; Ashli OWEN-SMITH, Auteur ; John A. PEARSON, Auteur ; Kathryn A. PEARSON, Auteur ; Donna RUSINAK, Auteur ; Virginia P. QUINN, Auteur ; Lisa A. CROEN, Auteur . - 2015 . - p.1989-1996.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 45-7 (July 2015) . - p.1989-1996
Mots-clés : Population-based Racial/ethnic minorities Chart review Children Adolescents Index. décimale : PER Périodiques Résumé : To identify factors associated with valid Autism Spectrum Disorder (ASD) diagnoses from electronic sources in large healthcare systems. We examined 1,272 charts from ASD diagnosed youth <18 years old. Expert reviewers classified diagnoses as confirmed, probable, possible, ruled out, or not enough information. A total of 845 were classified with 81 % as a confirmed, probable, or possible ASD diagnosis. The predictors of valid ASD diagnoses were >2 diagnoses in the medical record (OR 2.94; 95 % CI 2.03–4.25; p < 0.001) and being male (OR 1.51; 95 % CI 1.05–2.17; p = 0.03). In large integrated healthcare settings, at least two diagnoses can be used to identify ASD patients for population-based research. En ligne : http://dx.doi.org/10.1007/s10803-015-2358-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=261