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.
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。