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患有阿斯伯格综合征的成年人的自杀未遂史。

History of suicide attempts in adults with Asperger syndrome.

作者信息

Paquette-Smith Melissa, Weiss Jonathan, Lunsky Yona

机构信息

<location>Centre for Addiction and Mental Health, Toronto, Canada</location>

<location>Department of Psychology, York University, Toronto, Canada</location>

出版信息

Crisis. 2014 Jan 1;35(4):273-7. doi: 10.1027/0227-5910/a000263.

Abstract

BACKGROUND

Individuals with Asperger syndrome (AS) may be at higher risk for attempting suicide compared to the general population.

AIMS

This study examines the issue of suicidality in adults with AS.

METHOD

An online survey was completed by 50 adults from across Ontario. The sample was dichotomized into individuals who had attempted suicide (n = 18) and those who had not (n = 32). We examined the relationship between predictor variables and previous attempts, and compared the services that both groups are currently receiving.

RESULTS

Over 35% of individuals with AS reported that they had attempted suicide in the past. Individuals who attempted suicide were more likely to have a history of depression and self-reported more severe autism symptomatology. Those with and without a suicidal history did not differ in terms of the services they were currently receiving. This study looks at predictors retrospectively and cannot ascertain how long ago the attempt was made. Although efforts were made to obtain a representative sample, there is the possibility that the individuals surveyed may be more or less distressed than the general population with AS.

CONCLUSION

The suicide attempt rate in our sample is much higher than the 4.6% lifetime prevalence seen in the general population. These findings highlight a need for more specialized services to help prevent future attempts and to support this vulnerable group.

摘要

背景

与普通人群相比,阿斯伯格综合征(AS)患者可能有更高的自杀未遂风险。

目的

本研究探讨成年AS患者的自杀问题。

方法

安大略省各地的50名成年人完成了一项在线调查。样本被分为曾有自杀未遂行为的个体(n = 18)和未曾有过自杀未遂行为的个体(n = 32)。我们研究了预测变量与既往自杀未遂行为之间的关系,并比较了两组目前所接受的服务。

结果

超过35%的AS患者报告称他们过去曾有过自杀未遂行为。有自杀未遂行为的个体更有可能有抑郁症病史,且自我报告的自闭症症状更严重。有或没有自杀史的个体在目前所接受的服务方面没有差异。本研究是回顾性地研究预测因素,无法确定自杀未遂行为发生的时间。尽管努力获取具有代表性的样本,但被调查个体的痛苦程度可能高于或低于AS普通人群。

结论

我们样本中的自杀未遂率远高于普通人群中4.6%的终生患病率。这些发现凸显了需要更多专门服务来帮助预防未来的自杀未遂行为,并支持这一弱势群体。

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