Comportements à risque suicidaire chez les adolescents atteints de troubles neurodéveloppementaux rares : rôle du sexe, des traits autistiques et des difficultés de santé mentale

Titre original en anglais : Suicidal Risk Behaviors in Adolescents With Rare Neurodevelopmental Disorders: The Role of Sex, Autistic Traits, and Mental Health Difficulties

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.

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Orm, S., Wood, J., Corbett, B., & Fjermestad, K. (2023). Suicidal Risk Behaviors in Adolescents With Rare Neurodevelopmental Disorders: The Role of Sex, Autistic Traits, and Mental Health Difficulties. Journal of Pediatric Psychology, 48(10), 852-860. https://doi.org/10.1093/jpepsy/jsad051

Date de publication: 08/08/2023 Ajout dans AutiHub: 20/09/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
4
Auteur·ices de la publication identifié·es comme autistes
1 / 4 (25,0 %)
  1. Stian Orm *
  2. Jeffrey Wood
  3. Blythe Corbett
  4. Krister Fjermestad

Résumé

Résumé Objectif Les traits autistiques sont associés à des difficultés de santé mentale et à un risque de comportements à risque suicidaire chez les adolescents. On sait peu de choses sur la manière dont les traits autistiques affectent la santé mentale des adolescents atteints de troubles neurodéveloppementaux rares (TNR). L'objectif de cette étude était d'examiner la relation entre les traits autistiques, les difficultés de santé mentale et les comportements à risque suicidaire chez les adolescents atteints de TNR. Méthodes Les parents (N = 93) ont rempli la Child Behavior Checklist, le Social Communication Questionnaire et la Social Responsiveness Scale concernant leur adolescent (Mage = 13,1, ET = 2,3, 62,4 % de sexe féminin) atteint d'un TNR (p. ex., aneuploïdies des chromosomes sexuels, syndrome de l'X fragile, syndrome de délétion 22q11.2). Les données ont été analysées au moyen d'une analyse de régression logistique hiérarchique. Résultats La prévalence des comportements à risque suicidaire (16,1 %) était similaire à celle rapportée chez les jeunes autistes et était plus élevée chez les garçons que chez les filles. Davantage de traits autistiques étaient associés aux comportements à risque suicidaire dans l'analyse bivariée. Dans l'analyse multivariée, davantage de symptômes d'anxiété/dépression étaient associés à davantage de comportements à risque suicidaire, et les problèmes d'extériorisation étaient associés aux comportements à risque suicidaire au-delà des traits autistiques et des symptômes d'anxiété/dépression. Conclusion Les adolescents atteints de TNR présentent un risque de comportements à risque suicidaire, en particulier ceux ayant des niveaux plus élevés de traits autistiques, de symptômes d'anxiété/dépression et de problèmes d'extériorisation. L'évaluation des traits autistiques, des difficultés de santé mentale et du risque suicidaire peut être indiquée chez les adolescents atteints de TNR afin de déterminer si une intervention correspondante est nécessaire.

Abstract Objective Autistic traits are associated with mental health difficulties and risk of suicidal risk behaviors among adolescents. Little is known about how autistic traits affect the mental health of adolescents with rare neurodevelopmental disorders (RNDs). The aim of this study was to investigate the relationship between autistic traits, mental health difficulties, and suicidal risk behaviors in adolescents with RNDs. Methods Parents (N = 93) completed the Child Behavior Checklist, Social Communication Questionnaire, and Social Responsiveness Scale about their adolescent (Mage = 13.1, SD = 2.3, 62.4% females) with an RND (e.g., sex chromosome aneuploidies, Fragile X syndrome, 22q11.2 deletion syndrome). The data were analyzed with hierarchical logistic regression analysis. Results The prevalence of suicidal risk behaviors (16.1%) was similar to that reported among autistic youth and was higher among boys than girls. More autistic traits were associated with suicidal risk behaviors in bivariate analysis. In multivariate analysis, more anxiety/depressive symptoms were associated with more suicidal risk behaviors and externalizing problems associated with suicidal risk behaviors beyond autistic traits and anxiety/depressive symptoms. Conclusion Adolescents with RNDs are at risk of suicidal risk behaviors, especially those with higher levels of autistic traits, anxiety/depressive symptoms, and externalizing problems. Assessment of autistic traits, mental health difficulties, and suicide risk may be indicated for adolescents with RNDs to determine if corresponding intervention is needed.

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Références citées
56
Avec un DOI
52
Sans DOI, à partir du texte brut de la bibliographie
4
2 / 56 (3,6 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
1 / 56 (1,8 %)
Références avec noms d’auteurices détectés
56 / 56 (100,0 %)
Sans nom d’auteurice détecté
0
Sans titre structuré
1
Sans identifiant stable
4
Références avec noms bruts d’auteurices restant à vérifier
0
Références avec problème de récupération des métadonnées externes
0
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
481
À partir du DOI ou de métadonnées externes
481
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
0
61 / 481 (12,7 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 420 / 481 (87,3 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
2 / 481 (0,4 %)
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 : 2 / 61 (3,3 %). Personnes distinctes identifiées comme autistes : 2 / 460 (0,4 %).
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