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

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Hedley, D., Williams, Z. J., Deady, M., Batterham, P. J., Bury, S. M., Brown, C. M., Robinson, J., Trollor, J. N., Uljarević, 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
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Auteurs

Auteur·ices des publications
10
Auteur·ices de la publication identifié·es comme autistes
1 / 10 (10,0 %)
  1. Darren Hedley
  2. Zachary J. Williams *
  3. Mark Deady
  4. Philip J. Batterham
  5. Simon M. Bury
  1. Claire M Brown
  2. Jo Robinson
  3. Julian N Trollor
  4. Mirko Uljarević
  5. Mark A. Stokes

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.

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Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:31.

Références citées
106
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
9 / 106 (8,5 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
17 / 546 (3,1 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 17 / 199 (8,5 %). Auteurices cité·es distinct·es identifié·es comme autistes : 8 / 426 (1,9 %).
Occurrences citées rattachées à la base AutiHub
199 / 546 (36,4 %)
Auteurices cité·es distinct·es rattaché·es : 115 / 426 (27,0 %)
Occurrences rattachées, non identifiées comme autistes
182 / 199 (91,5 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 182 / 546 (33,3 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 107 / 115 (93,0 %).
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