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自殺的思考と行動の増大と 自殺的でない自傷行為 自閉症の若者と成人の間: 多国籍研究
Jessica M Schwartzman1,2,3, Carly A McMorris4,5, Claire M Brown6
1Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Autism in adulthood : challenges and management
|August 29, 2025
まとめ
自閉症の人は 自殺の考えや行動や 自傷害の大きなリスクに直面します 年齢とともに自殺の念頭が増えており ライフサイクルを通じて 標的を絞った自殺予防戦略の必要性を 強調しています
科学分野:
- 神経発達障害
- 精神科
- 公衆衛生
背景:
- 自殺的思考と行動 (STB) と非自殺的自己傷害 (NSSI) のリスクが高い.
- この研究では,異なる年齢層におけるSTBとNSSIを調査し,自閉症の多国籍サンプルにおける性別と年齢関連効果を調査した.
研究 の 目的:
- 自殺的思考,行動,そして 自殺しない自傷行為を 自閉症の全生涯で調べる
- これらのアウトカムの流行と重度の年齢と性別による違いを特定する.
主な方法:
- 知的障害のない245人の自閉症 (子供と成人) の多国籍サンプルが参加しました.
- STBとNSSIを評価するために,コロンビア-自殺重症度評価尺度が用いられました.
- このサンプルは,うつ病や自殺傾向のある個人を対象に拡張された.
主要な成果:
- 大半の参加者 (87. 8%) は自殺の念頭を持ち,56. 3% はNSSIを報告した.
- 3分の1近く (31.0%) が生涯にわたる自殺未遂を報告し,過量摂取が最も一般的な方法であった.
- 自殺念頭は年齢とともに増加し,高齢者はより重篤で長く続く念頭があると報告しています. 性別は重要なリスク要因ではなかった.
結論:
- 全ての年齢層にわたる自閉症の人々は 自殺予防の優先順位の高い集団です
- 効果的な自殺予防戦略や評価や システムレベルのプログラムは この集団における 予防可能な自殺による死亡の対処に 極めて重要です
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