Abstract：
OBJECTIVE: Autistic people have a significantly increased risk of death by suicide relative to the general population. In non-autistic samples, psychological wellbeing has been shown to moderate the relationship between depression and suicidal thoughts and behavior. Thoughts of self-harm may provide a useful indicator of suicidal risk. In this longitudinal study we examined (a) the potential role for psychological wellbeing to moderate the relationship between depressive symptoms and thoughts of self-harm and (b) the contribution of autistic traits to thoughts of self-harm.
METHODS: Participants were 209 autistic adolescents and adults aged 15 to 80 years (Mage = 34.20, SD = 15.38 years).
RESULTS: At both baseline and 2-year follow-up, 35% of participants reported recent thoughts of self-harm. Wellbeing was associated with autistic traits (r = - .350 to - 0.404) and depression (r = - .480 to - 0.759). Thoughts of self-harm were positively associated with autistic traits and depression (r = .242 to 0.659), and negatively associated with wellbeing (r = - .287 to - 0.609). Controlling for baseline thoughts of self-harm, depression (β = 0.254, p = .001) and autistic traits (β = 0.162, p = .007) significantly predicted thoughts of self-harm at 2-year follow-up.
CONCLUSIONS: Despite a lack of support for the hypothesis that wellbeing would moderate the relationship between depression and thoughts of self-harm, correlational data demonstrated significant associations between wellbeing and both depression and thoughts of self-harm. Future research considering psychological wellbeing as a potential protective factor for self-harm in autistic people is warranted.
METHODS: Participants were 209 autistic adolescents and adults aged 15 to 80 years (Mage = 34.20, SD = 15.38 years).
RESULTS: At both baseline and 2-year follow-up, 35% of participants reported recent thoughts of self-harm. Wellbeing was associated with autistic traits (r = - .350 to - 0.404) and depression (r = - .480 to - 0.759). Thoughts of self-harm were positively associated with autistic traits and depression (r = .242 to 0.659), and negatively associated with wellbeing (r = - .287 to - 0.609). Controlling for baseline thoughts of self-harm, depression (β = 0.254, p = .001) and autistic traits (β = 0.162, p = .007) significantly predicted thoughts of self-harm at 2-year follow-up.
CONCLUSIONS: Despite a lack of support for the hypothesis that wellbeing would moderate the relationship between depression and thoughts of self-harm, correlational data demonstrated significant associations between wellbeing and both depression and thoughts of self-harm. Future research considering psychological wellbeing as a potential protective factor for self-harm in autistic people is warranted.
摘要：
目的：自闭症患者自杀死亡风险显著高于一般人群。在非自闭症样本中，心理健康已被证明可以缓解抑郁症与自杀念头和行为之间的关系。自我伤害的想法可能为自杀风险提供有用的指标。在这项纵向研究中，我们研究了（a）心理健康在缓解抑郁症状与自我伤害思想之间关系方面的潜在作用，以及（b）自闭症特征对自我伤害思想的贡献。
方法：参与者是209名自闭症青少年和15至80岁的成年人（Mage=34.20，SD=15.38岁）。
结果：在基线和2年随访时，35％的参与者报告了最近的自我伤害想法。健康与自闭症特征（r=-.350至-0.404）和抑郁（r=-.480至-0.759）相关。自我伤害的想法与自闭症特征和抑郁症呈正相关（r=0.242至0.659），与幸福感呈负相关(r=-.287至-0.609)。控制自我伤害的基线思维，抑郁症（β=0.254，p=.001）和自闭症特征（β=0.162，p=.007）显着预测了2年随访时的自我伤害想法。
结论：尽管缺乏对健康会缓和抑郁与自残思想之间关系的假说的支持，相关数据表明，健康与抑郁和自我伤害的想法之间存在显着关联。未来的研究认为心理健康是自闭症患者自我伤害的潜在保护因素。
方法：参与者是209名自闭症青少年和15至80岁的成年人（Mage=34.20，SD=15.38岁）。
结果：在基线和2年随访时，35％的参与者报告了最近的自我伤害想法。健康与自闭症特征（r=-.350至-0.404）和抑郁（r=-.480至-0.759）相关。自我伤害的想法与自闭症特征和抑郁症呈正相关（r=0.242至0.659），与幸福感呈负相关(r=-.287至-0.609)。控制自我伤害的基线思维，抑郁症（β=0.254，p=.001）和自闭症特征（β=0.162，p=.007）显着预测了2年随访时的自我伤害想法。
结论：尽管缺乏对健康会缓和抑郁与自残思想之间关系的假说的支持，相关数据表明，健康与抑郁和自我伤害的想法之间存在显着关联。未来的研究认为心理健康是自闭症患者自我伤害的潜在保护因素。
