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Adapting Safety Plans for Autistic Adults with Involvement from the Autism Community.

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Autistic adults face higher risks of self-harm. Adapting safety plans (AASP) with trusted individuals, considering individual needs and preferences, can improve support for autistic adults.

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Area of Science:

  • Neurodevelopmental disorders
  • Mental health interventions
  • Autism spectrum disorder research

Background:

  • Autistic adults experience elevated risks for self-harm and suicide compared to the general population.
  • Safety planning is a recognized intervention for suicide prevention in the general population.
  • There is a need to adapt existing safety planning strategies for the specific needs of autistic adults.

Purpose of the Study:

  • To gather insights from autistic adults and the autism community on adapting safety plans.
  • To evaluate the acceptability and feasibility of the Autism Adapted Safety Plan (AASP) among autistic adults and service providers.

Main Methods:

  • Focus groups were conducted with autistic adults, family members, and service providers to discuss the AASP.
  • Interviews were held with autistic adults and service providers who had used the AASP.
  • Thematic analysis was applied to analyze focus group and interview transcripts.

Main Results:

  • Acceptability of the AASP creation process depends on trust, timing, and location, avoiding distress.
  • Safety planning should be flexible, creative, and iterative, with support for emotional expression and coping strategies.
  • The AASP must be accessible in crisis, respecting individual preferences for format and storage (hard copy or electronic).

Conclusions:

  • The Autism Adapted Safety Plan (AASP) shows promise for autistic adults when developed flexibly and with sensitivity to individual needs.
  • Further research is needed to assess the clinical effectiveness of the AASP in reducing suicidal behavior.
  • The AASP has the potential to be a life-saving intervention for the autistic adult population.