Clinical features of suicide attempts in adults with autism spectrum disorders

Autism spectrum disorder among first-visit depressed adult patients: diagnostic clues from backgrounds and past history

“…Depressed state in ASD subjects often seems situational or reactive rather than endogenous because nearly a half cases with ASD (47%) were comorbid with adjustment disorder in this study. These results were consist with a previous study by Kato et al [32], which showed that 7.3% out of depressed suicide attempters were diagnosed as ASD, and that the diagnosis as adjustment disorder was more common in the ASD group than in non-ASD group (70.0% vs. 41.5%).…”

“…Mean score of total AQ was 31.5±6.1 (range, [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43]. Diagnoses of the comorbidity as adjustment disorder, major depressive disorder and bipolar disorder were 33 cases (47%), 21 cases (30%) and 16 cases (23%) in the 70 ASD subjects whereas respective values were 56 (15%), 194 (54%) and 110 (31%) in the 360 non-ASD subjects.…”

Suicidality in Autism Spectrum Disorder: a Commentary

“…Distal vulnerabilities are opportunities for targeted supports. Evidence for this as a worthy investment emerges from a Japanese study that compared adults with and without ASD treated for SAs within an emergency department (Kato et al 2013). Relative to those without ASD, individuals with ASD had fewer mood disorders and more adjustment disorders, were more likely to live alone and were less likely to be users of psychiatric services.…”

Emergency Department Use Among Adults with Autism Spectrum Disorders (ASD)

“…Previous studies on use of ED services among individuals with ASD have been either restricted to pediatric/adolescent population (Croen et al 2006; Kalb et al 2012; Wharff et al 2011) and/or examination of ED use as a part of a bigger study with no specific details on types of ED visits (Croen et al 2006; Kato et al 2013; Nicolaidis et al 2013). Nonetheless, such studies have provided insights which corroborate the hypothesis that adults with ASD are at high risk of ED use.…”

“…Nicolaidis et al (2013) examined the healthcare experiences of adults with and without ASD via an online cross sectional survey and found that adults with ASD had greater odds of using an ED as compared to adults without ASD (OR = 2.1, 95% CI = 1.8-3.8). Kato et al (2013) compared the characteristics of suicide attempts in a hospital emergency room between adults with and without ASD. The authors found that about 7.3% of patients with suicidal emergencies had ASD, and those with ASD had a significantly greater prevalence of adjustment disorders (70%) and a longer length of stay in the intensive care unit/hospital as compared to adults without ASD.…”