A Comparative Study of Suicidality and Its Association with Emotion Regulation Impairment in Large ASD and US Census-Matched Samples

Conner, Caitlin M.; Golt, Josh; Righi, Giulia; Shaffer, Rebecca C.; Siegel, Matthew; Mazefsky, Carla

doi:10.1007/s10803-020-04370-1

Cited by 47 publications

(27 citation statements)

References 66 publications

(79 reference statements)

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“…Importantly, both Reactivity and Dysphoria were significantly related to the use of psychiatric hospitalization and the emergency services, and Dysphoria has also been associated with increased likelihood of suicidal ideation in a prior ASD study [Conner et al, 2020]. Overall, this emphasizes the importance of screening for both manifestations of ER impairment, as well as a continued need for clinical trials addressing Dysphoria in ASD.…”

Section: Discussionmentioning

confidence: 99%

Emotion Dysregulation is Substantially Elevated in Autism Compared to the General Population: Impact on Psychiatric Services

et al. 2020

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Emerging evidence suggests that emotion regulation (ER) impairment in those with ASD is associated with poor mental health. This study used the Emotion Dysregulation Inventory, a new norm-referenced ER measure with clinical cutoffs , developed and validated in ASD and non-ASD samples, to establish rates of ER impairment and understand its association with psychiatric service use in ASD. Parents of 6-17 year olds in three well-characterized samples (nationally representative US n = 1,000; community ASD n = 1,169; inpatient ASD n = 567) completed a battery of questionnaires about their child. The prevalence of ER impairment was significantly higher in the ASD groups compared to the nationally representative sample and highest in the psychiatric Inpatient ASD group. The community ASD and inpatient ASD samples were four and seven times more likely, respectively, to exceed clinical cutoffs for emotional reactivity than the general US sample. Similarly, history of psychiatric hospitalization, recent emergency services use (police contact, emergency room visits, or in-home crisis evaluations for emotional or behavioral concerns in the past 2 months), and psychotropic medication prescriptions were significantly higher in the ASD groups. ER impairment was significantly associated with all forms of psychiatric service use, after controlling for demographics (age, sex, race), co-occurring intellectual disability, and ADHD symptoms. This is the first large-scale study to document substantially higher rates of ER impairment in youth with ASD compared to the general population. The importance of ER impairment is underscored by its association with higher utilization of inpatient, emergency, and medication services in ASD, after accounting for demographics and ADHD-related symptoms.

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Section: Discussionmentioning

confidence: 99%

Emotion Dysregulation is Substantially Elevated in Autism Compared to the General Population: Impact on Psychiatric Services

et al. 2020

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“…In 481 autistic youth, McDonnell et al (2019) report correlates of suicidal ideation and self-harm/suicide behaviours, notably child age, parental education, restricted and repetitive behaviours, IQ and adaptive behaviour, affective and conduct problems, and medical concerns. Conner et al (2020) showed significantly increased risk of suicidality in autistic youth from the community and psychiatric inpatient samples, and emotion regulation was associated with increased risk of suicidality. Licence et al (2019) showed a 24% parent reported prevalence of self-harm in autistic children and adults.…”

Section: Prevalence and Risk Markersmentioning

confidence: 93%

Advancing Our Understanding of Self-harm, Suicidal Thoughts and Behaviours in Autism

Cassidy

Robertson

Townsend

et al. 2020

J Autism Dev Disord

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“…Firstly, ASD incurs severe psychological and financial burdens on families, who must manage multiple issues [3]. Secondly, evidence has suggested that the rates of suicidality increase almost three and five times in ASD community and inpatient samples compared with a control group [4]. Lastly, it is difficult for children with ASD to completely socially integrate, for their symptoms influence communication and socialization throughout the life span [5].…”

Section: Introductionmentioning

confidence: 99%

Review of Dejian Mind-Body Intervention Used to Children with Autism Spectrum Disorder

Mo¹,

Li²,

Zhao³

et al. 2021

Advances in Social Science, Education and Humanities Research

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The purpose of this study is to summarize research investigating the potential benefits of the Dejian Mind-Body Intervention (DMBI) in enhancing the functioning of children with autism spectrum disorder (ASD) as well as further explore its potential mechanisms. The DMBI is the organic integration of Shaolin Chanwuyi and modern psychosomatic medicine. It is unique and has substantial effects on children with ASD. The DMBI primarily relies on traditional health regimens such as Neiyanggong(Qigong of the Shaolin Temple), Zen meditation(meditation of the Shaolin Temple), regulated diet, and Tongqiao (keep bodily opening healthy) to enhance patients' brain functioning, thereby improving self-control, promoting mental development, and reducing repetitive behaviors. The DMBI is safe, effective, and economical, making it worthy of wider attention. The DMBI is recognized as possessing a distinct advantage in mitigating the symptoms of ASD in children. Hence, it has potential to serve as an intervention in rehabilitation and medical institutions that specialize in the treatment of children with ASD.

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A Comparative Study of Suicidality and Its Association with Emotion Regulation Impairment in Large ASD and US Census-Matched Samples

Cited by 47 publications

References 66 publications

Emotion Dysregulation is Substantially Elevated in Autism Compared to the General Population: Impact on Psychiatric Services

Emotion Dysregulation is Substantially Elevated in Autism Compared to the General Population: Impact on Psychiatric Services

Advancing Our Understanding of Self-harm, Suicidal Thoughts and Behaviours in Autism

Review of Dejian Mind-Body Intervention Used to Children with Autism Spectrum Disorder

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