在自闭症成年人中,创伤经历,心理痛苦和与自杀有关的行为
T A Chikaura1,2, E Weir1,2, S Griffiths3
1Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK.
概括
自闭症成年人面临的创伤和自杀企图的风险更高. 创伤预防和支持对于自闭症患者的自杀预防至关重要.
科学领域:
- 神经发育障碍 神经发育障碍
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 与非自闭症成年人相比,自闭症成年人经历创伤,自杀和心理健康状况的风险增加.
- 大约25%的自闭症成年人曾尝试过自杀.
研究的目的:
- 调查自闭症,创伤和不良心理健康结果之间的关系,包括自我伤害,自杀企图,自杀计划,影响日常生活的心理健康状况和应对物质使用.
- 在自闭症患者中,识别经常与心理困扰和自杀相关行为 (SRB) 一起发生的特定创伤.
主要方法:
- 对424名自闭症和345名非自闭症成年人进行了匿名的自我报告调查.
- 双项逻辑回归模型被用来分析自闭症,创伤和指定的结果之间的关联.
- 热图被生成以可视化同时发生的创伤和心理痛苦.
主要成果:
- 自闭症仍然是自我伤害,自杀企图,自杀计划和影响日常生活的心理健康状况的重要预测因素,即使考虑到创伤和人口统计数据.
- 与非自闭症个体相比,自闭症个体报告的自伤率 (OR:2.71),自杀企图 (OR:2.45),自杀计划 (OR:2.00) 和心理健康状况 (OR:3.58) 较高.
- 童年受害经常与自闭症患者的心理健康状况,自我伤害和自杀计划有关.
结论:
- 自闭症,创伤,自我伤害,自杀企图,自杀计划和心理健康状况之间存在复杂的相互关系.
- 针对性干预侧重于创伤预防,制定健康的应对策略,并促进创伤恢复,对于自闭症人口的自杀预防至关重要.
- 保护和强大的支持系统对于减轻自闭症成年人自杀风险至关重要.
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