L'entretien Suicide Assessment Kit-Modified : développement et validation préliminaire d'un entretien clinique modifié pour l'évaluation des pensées et comportements suicidaires chez des adultes autistes

Titre original en anglais : The Suicide Assessment Kit-Modified Interview: Development and preliminary validation of a modified clinical interview for the assessment of suicidal thoughts and behavior in autistic adults

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.

À propos de la mention auteur·ice autiste

Hedley, D., Williams, Z. J., Deady, M., Batterham, P. J., Bury, S., Brown, C. M., Robinson, J., Trollor, J., Uljarevic, M., & Stokes, M. A. (2024). The Suicide Assessment Kit-Modified Interview: Development and preliminary validation of a modified clinical interview for the assessment of suicidal thoughts and behavior in autistic adults. Autism, 29(3), 766-787. https://doi.org/10.1177/13623613241289493

Date de publication: 19/10/2024 Ajout dans AutiHub: 07/07/2026 Type: Article Langue de l’article: Anglais

Cette publication est intégrée dans AutiHub via :

Auteurs

Auteur·ices des publications
10
Auteur·ices de la publication identifié·es comme autistes
1 / 10 (10,0 %)

Résumé

La prévalence accrue du suicide chez les personnes autistes souligne la nécessité d'instruments cliniques validés de dépistage et d'évaluation du suicide qui soient accessibles et répondent aux besoins particuliers de cette population en matière de langage et de communication. Nous décrivons la validation psychométrique préliminaire, préenregistrée, du Suicide Assessment Kit-Modified Interview, dans un échantillon de 98 adultes autistes (58 % de femmes, 34 % d'hommes, 7 % de personnes non binaires ; M AGE = 41.65, SD = 12.96). Un score d'affect négatif à quatre items dérivé du Suicide Assessment Kit-Modified Interview a démontré une fiabilité adéquate (ω = 0.796, intervalle de confiance BCa à 95 % = [0.706, 0.857]), ainsi qu'une bonne validité convergente avec des mesures apparentées. Les « catégories » ordinales (1-5) du Suicide Assessment Kit-Modified Interview ont démontré une validité divergente (r s = -0.067 à 0.081) et une bonne validité convergente, étant fortement corrélées aux instruments d'évaluation de la santé mentale (r s = 0.446 à 0.744) et du suicide (r s = 0.576 à 0.696). Les catégories du Suicide Assessment Kit-Modified Interview ont montré une forte capacité à prédire les participants identifiés par les cliniciens comme présentant un risque « supérieur au faible risque » de future tentative de suicide (aire sous la courbe = 0.887, Mdn postérieure = 0.889, intervalle de crédibilité à 95 % = [0.810, 0.954], P AUC > 0.8 = 0.976). Les classifications du Suicide Assessment Kit-Modified Interview > « Catégorie 3 » ont fourni une sensibilité observée de 0.750 (Mdn = 0.810, [0.669, 0.948], P Se > 0.8 = 0.544) et une spécificité observée de 0.895 (Mdn = 0.899, [0.833, 0.956], P Sp > 0.8 = 0.995) pour le statut de risque « supérieur au faible risque ». Nos résultats indiquent que le Suicide Assessment Kit-Modified Interview est un outil clinique d'évaluation psychométriquement solide des comportements suicidaires qui peut être administré de manière valide à des adultes autistes sans déficience intellectuelle. Résumé en langage clair Les personnes ayant un diagnostic d'autisme présentent un risque accru de décès par suicide. Il est nécessaire de disposer d'instruments cliniques adaptés aux besoins des personnes autistes. Dans cette étude, nous avons modifié et évalué un entretien clinique sur le suicide (Suicide Assessment Kit-Modified Interview) afin de l'utiliser auprès de personnes autistes qui ne présentent pas de déficience intellectuelle. Des personnes autistes nous ont aidés à modifier la version originale de l'instrument en améliorant les questions, en fournissant des explications pour les termes ou concepts difficiles, et en recommandant l'utilisation d'échelles d'évaluation différentes. Nos résultats soutiennent l'utilisation du Suicide Assessment Kit-Modified Interview pour évaluer les pensées et comportements suicidaires chez des adultes autistes sans déficience intellectuelle. À l'avenir, nous testerons dans quelle mesure le Suicide Assessment Kit-Modified Interview fonctionne dans des contextes cliniques et auprès de différentes populations cliniques.

The increased prevalence of suicide among autistic people highlights the need for validated clinical suicide screening and assessment instruments that are accessible and meet the unique language and communication needs of this population. We describe the preliminary preregistered psychometric validation of the Suicide Assessment Kit-Modified Interview, in a sample of 98 autistic adults (58% women, 34% men, 7% nonbinary; M AGE = 41.65, SD = 12.96). A four-item negative affect score derived from the Suicide Assessment Kit-Modified Interview demonstrated adequate reliability (ω = 0.796, BCa 95% confidence interval = [0.706, 0.857]), as well as good convergent validity with related measures. Ordinal Suicide Assessment Kit-Modified Interview “categories” (1–5) demonstrated divergent validity ( r s = −0.067 to 0.081) and good convergent validity, strongly correlating with mental health ( r s = 0.446 to 0.744) and suicide assessment instruments ( r s = 0.576 to 0.696). Suicide Assessment Kit-Modified Interview categories showed strong ability to predict participants identified by clinicians as “above low risk” of future suicide attempt (area under the curve = 0.887, posterior Mdn = 0.889, 95% credible interval = [0.810, 0.954], P AUC > 0.8 = 0.976). Suicide Assessment Kit-Modified Interview classifications > “Category 3” provided an observed sensitivity of 0.750 ( Mdn = 0.810, [0.669, 0.948], P Se > 0.8 = 0.544) and an observed specificity of 0.895 ( Mdn = 0.899, [0.833, 0.956], P Sp > 0.8 = 0.995) for “above low risk” status. Our findings indicate that the Suicide Assessment Kit-Modified Interview is a psychometrically strong clinical assessment tool for suicidal behavior that can be validly administered to autistic adults without intellectual disability. Lay Abstract People with a diagnosis of autism are at increased risk of death by suicide. There is a need for clinical instruments that are adapted to the needs of autistic people. In this study, we modified and evaluated a clinical suicide interview (Suicide Assessment Kit-Modified Interview) for use with autistic people who do not have an intellectual disability. Autistic people helped us to modify the original version of the instrument by improving the questions, providing explanations for difficult terms or concepts, and recommending that we use different rating scales. Our results support the use of Suicide Assessment Kit-Modified Interview for assessing autistic adults without intellectual disability for suicidal thoughts and behavior. In the future, we will test how well Suicide Assessment Kit-Modified Interview works in clinical settings and with different clinical populations.

Bibliographie citée par cette référence

Les références citées sont importées depuis des sources externes de métadonnées lorsqu’elles sont disponibles. La liste peut être partielle.

Vue d’ensemble de la bibliographie citée

Ces indicateurs décrivent la bibliographie citée par cette publication. Un nom d’auteurice est compté chaque fois qu’il apparaît dans une référence citée : une même personne peut donc être comptée plusieurs fois. Les noms qui ne sont pas encore associés à un·e auteurice déjà présent·e dans AutiHub sont traités comme inconnus, pas comme non autistes. Dernier calcul : 02/10/2026 02:39.

Références citées
105
Avec un DOI
88
Sans DOI, à partir du texte brut de la bibliographie
16
12 / 105 (11,4 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
13 / 105 (12,4 %)
Références avec noms d’auteurices détectés
92 / 105 (87,6 %)
Sans nom d’auteurice détecté
13
Sans titre structuré
13
Sans identifiant stable
14
Références avec noms bruts d’auteurices restant à vérifier
13
Références avec problème de récupération des métadonnées externes
3
Ces indicateurs portent sur les références citées affichées sur cette page, après fusion des doublons techniques. Une référence sans DOI peut quand même soutenir les statistiques d’auteurices lorsqu’un titre et des noms d’auteurices sont disponibles.
Noms d’auteurices détectés dans la bibliographie citée
545
À partir du DOI ou de métadonnées externes
545
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
30
231 / 545 (42,4 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 314 / 545 (57,6 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
23 / 545 (4,2 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 23 / 231 (10,0 %). Personnes distinctes identifiées comme autistes : 14 / 422 (3,3 %).
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