述评：孤独症谱系障碍人群的自杀风险很高，但往往被忽视。

Commentary: Suicide risk is high, but often overlooked, in autistic spectrum disorder populations.

机构信息

Brody School of Public Health, East Carolina University, Greenville, NC, USA.

出版信息

J Child Psychol Psychiatry. 2022 Sep;63(9):1089-1091. doi: 10.1111/jcpp.13627. Epub 2022 May 7.

Abstract

Self-Harm Significantly Higher in Populations with ADHD, Anxiety, ASD, Depression, and Eating Disorders. I appreciated your recent paper on the large and well-matched studies on nonfatal self-harm and suicide among adolescents in the UK Clinical Practice Research Datalink (Cybulski et al. 2021). This large study involved 56,008 self-harm cases and 1,399,356 controls aged 10-19 years and reported that many diagnoses were associated with significantly higher rates of self-harm. Compared to controls, the risk of self-harm was significantly higher in attention-deficit/hyperactivity disorder (ADHD) (OR 3.3, 95% CI 3.1-3.4), anxiety disorder (OR 3.8, 95% CI 3.7-3.9), autism spectrum disorder (ASD) (OR 2.4, 95% CI 2.3-2.6), depression (OR 7.9, 95% CI 7.8-8.2), and eating disorders (OR 3.1, 95% CI 3.0-3.2) (Cybulski et al. 2021).

摘要

自伤行为在 ADHD、焦虑症、自闭症谱系障碍、抑郁症和饮食障碍患者中发生率更高。我对你们最近发表的关于英国临床实践研究数据库（Cybulski 等人，2021 年）中青少年非致命性自伤和自杀的大型且匹配良好的研究论文很感兴趣。这项大型研究涉及 56008 例自伤病例和 1399356 名 10-19 岁的对照者，报告称许多诊断与自伤率显著升高相关。与对照组相比，注意力缺陷/多动障碍（ADHD）（OR 3.3，95%CI 3.1-3.4）、焦虑症（OR 3.8，95%CI 3.7-3.9）、自闭症谱系障碍（ASD）（OR 2.4，95%CI 2.3-2.6）、抑郁症（OR 7.9，95%CI 7.8-8.2）和饮食障碍（OR 3.1，95%CI 3.0-3.2）的自伤风险显著更高（Cybulski 等人，2021 年）。