Screening for autism in psychiatric inpatients with severe self-harm – results from the Extreme Challenges research project
Rattachement africain : no. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
PURPOSE: Living with undiagnosed autism may have negative consequences for mental health, including increased risk of self-harm and suicidal behaviours. Autism is currently underdiagnosed in adult females. While severe self-harm is associated with complex psychopathologies, it is often assumed to signify the presence of borderline personality disorder, and underlying autism may not be recognised. The purpose of the current study was to explore the prevalence of diagnosed autism, as well as the prevalence of being screen positive for autism and its clinical correlates, in a clinical sample of inpatients with severe self-harm. MATERIALS AND METHODS: In a national multisite project comprising 12 hospitals, 42 patients (40 female, 2 male; age >18) with frequent (≥ 5) or long (≥ 4 weeks) inpatient admissions due to self-harm during the last year were recruited for a cross-sectional study. The Ritvo Autism and Asperger Diagnostic Scale-Revised (RAADS-R) was used to screen for autism. RESULTS: Four participants, all female, were diagnosed with autism. When applying different cut-off criteria for the RAADS-R, even the strictest cut-off resulted in a considerably higher proportion of the sample being screen positive for autism. Participants with higher scores on the RAADS-R reported more anxiety, depressive, and trauma-related symptoms, as well as poorer functioning across measures of personality, close relationships, emotion regulation and alexithymia. CONCLUSIONS: These findings highlight the importance of actively screening for and assessing autism in patients with severe self-harm. Undiagnosed autism may involve a risk that unhelpful interactions with the mental health care system exacerbate these patients' difficulties over time.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Screening for autism in psychiatric inpatients with severe self-harm – results from the Extreme Challenges research project
- Date Crossref
- 04/05/2025
- Éditeur
- Informa UK Limited
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Oslo University Hospital Nevsom Norwegian Centre of Expertise for Neurodevelopmental Disorders and Hypersomnias pays non établi dans la noticeÉtablissement de santé
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University of Oslo Institute of Clinical Medicine pays non établi dans la noticeUniversité ou école supérieure
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Western Norway Regional Health Authority pays non établi dans la noticeOrganisme public
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Norwegian University of Science and Technology pays non établi dans la noticeUniversité ou école supérieure
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St Olav's University Hospital pays non établi dans la noticeÉtablissement de santé
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Faculty of Social Sciences pays non établi dans la noticeUniversité ou école supérieure
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Department of Research and Innovation pays non établi dans la noticeInstitution
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Faculty of Medicine and Health Sciences Department of Mental Health pays non établi dans la noticeUniversité ou école supérieure
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St. Olav’s Hospital Division of Mental Health Care pays non établi dans la noticeÉtablissement de santé
Nevsom Norwegian Centre of Expertise for Neurodevelopmental Disorders and Hypersomnias — Oslo University Hospital, Institute of Clinical Medicine — University of Oslo et Western Norway Regional Health Authority, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.