@article{ref1,
title="Suicidality in autistic spectrum disorders",
journal="Crisis",
year="2017",
author="Zahid, Sofia and Upthegrove, Rachel",
volume="38",
number="4",
pages="237-246",
abstract="BACKGROUND: It is suggested that people with autistic spectrum disorders (ASD) may be at increased risk of suicide; however, research on this topic has been minimal and there are conflicting reports in existing studies. <br><br>AIM: To bring together research investigating the prevalence, risk factors, and comorbid factors of suicidality in ASD. <br><br>METHOD: A systematic search was performed of Medline, Psych Info, Embase, and the Web of Science following PRISMA guidelines. After exclusion criteria were applied, 70 full-text articles were screened. The final review contained 12 papers with a total sample size of 2,651. <br><br>RESULTS: Prevalence of suicide attempts varied between 7% and 47%, while suicidal ideation was reported in up to 72% of cases. Being male and having a history of self-harm and depression were cited as significant risk factors. LIMITATIONS: Papers were cross sectional and contained a number of limitations. Only one paper used the gold standard for diagnosis of ASD and one a standardized measure of suicidal behavior. <br><br>CONCLUSION: Suicidal attempts and ideation are increased in ASD; however, the extent of the increase and the risk factors identified within this group remain under-investigated. There is a lack of research on protective factors. The correlation between ASD and suicidality needs further examination with longitudinal research.<p /> <p>Language: en</p>",
language="en",
issn="0227-5910",
doi="10.1027/0227-5910/a000458",
url="http://dx.doi.org/10.1027/0227-5910/a000458"
}