Suicide and Non-Fatal Self-Injury-Related Emergency Department Visits among Individuals with Autism Spectrum Disorder

Autor/inn/en	Giannouchos, Theodoros V.; Beverly, Judith; Christodoulou, Ilias; Callaghan, Timothy
Titel	Suicide and Non-Fatal Self-Injury-Related Emergency Department Visits among Individuals with Autism Spectrum Disorder
Quelle	In: Autism: The International Journal of Research and Practice, 27 (2023) 7, S.1983-1996 (14 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Giannouchos, Theodoros V.) ORCID (Beverly, Judith) ORCID (Callaghan, Timothy)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/13623613221150089
Schlagwörter	Suicide; Self Destructive Behavior; Hospitals; Autism Spectrum Disorders; Correlation; Incidence; Comorbidity; Mental Disorders; Children; Adults; Adolescents; Injuries; Individual Characteristics; New York + Suchen Sie Ihr Suchwort? Selbstmord; Self destrucive behaviour; Selbstzerstörung; Krankengymnast; Krankenhaus; Autism; Autismus; Korrelation; Vorkommen; Mental illness; Geisteskrankheit; Child; Kind; Kinder; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Personality characteristic; Personality traits; Persönlichkeitsmerkmal
Abstract	We analyzed the Healthcare Cost and Utilization State Emergency Department (ED) Databases and State Inpatient Databases for all individuals who were 2 years of age or older with at least one ED visit from 2011 to 2016 in New York to estimate the association between suicide and non-fatal injury-related ED visits and autism spectrum disorder (ASD). Our study included 14.4 million individuals with 43.5 million ED visits. Of those, 31,946 (0.2%) individuals had ASD accounting for 162,440 ED visits (0.4%). Compared to those without ASD, individuals with ASD had 2.1 more ED visits on average, higher shares of inpatient ED visits, more years of ED utilization, and higher prevalence of mental health-related comorbidities and diagnoses and self-injury-related ED visits. Among the ASD cohort, 6.1% had at least one self-injury-related ED visit compared to 2.2% among those without ASD. Using multivariable regressions adjusted for sociodemographic, clinical, contextual, and visit-level characteristics, we found that individuals with ASD were significantly more likely to have at least one self-injury-related ED visit compared to those without ASD. Our findings highlight the importance of raising awareness among caregivers and providers about the increased self-injury risk that individuals with ASD face and to tailor care delivery practices towards their needs. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01