Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, 3rd Floor, Philadelphia, PA, 19104, USA.
J Autism Dev Disord. 2020 Oct;50(10):3450-3461. doi: 10.1007/s10803-020-04441-3.
Autistic individuals experience elevated risk for suicide ideation, attempts, and deaths. Little is known about how clinicians assess risk or intervene with suicidal autistic individuals. We surveyed 121 clinicians about use of suicide prevention practices with autistic and non-autistic clients. Clinicians reported greater self-efficacy in screening for suicide risk among non-autistic clients (p = 0.01). There were no statistically significant differences in whether they used standardized screening measures or in their reported normative pressure or attitudes towards screening. Clinicians reported similar rates of use of Safety Planning, an evidence-based suicide-prevention strategy, across groups, but greater acceptability for non-autistic clients (p < 0.001). These findings have implications for strategies to increase clinicians' adoption of these tools for autistic individuals.
自闭症个体自杀意念、自杀企图和自杀死亡的风险增加。目前对于临床医生如何评估风险或干预有自杀意念的自闭症个体知之甚少。我们调查了 121 名临床医生，了解他们在自闭症和非自闭症患者中使用预防自杀的做法的情况。临床医生报告称，在非自闭症患者中筛查自杀风险的自我效能感更高（p=0.01）。他们是否使用标准化的筛查措施，或对筛查的规范性压力或态度方面，没有统计学上的显著差异。临床医生报告说，两组在使用安全计划（一种基于证据的自杀预防策略）方面的使用率相似，但对非自闭症患者的接受程度更高（p<0.001）。这些发现对增加临床医生为自闭症个体采用这些工具的策略具有重要意义。
