L'exposition aux facteurs de stress au cours de la vie est liée à la suicidalité chez les adultes autistes : une étude multinationale
Titre original en anglais : Lifetime stressor exposure is related to suicidality in autistic adults: A multinational study
Moseley, R., Hedley, D., Gamble-Turner, J., Uljarević, M., Bury, S. M., Shields, G. S., Trollor, J. N., Stokes, M. A., & Slavich, G. M. (2024). Lifetime stressor exposure is related to suicidality in autistic adults: A multinational study. Autism, 29(5), 1184-1208. https://doi.org/10.1177/13623613241299872
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Résumé
Malgré des taux très élevés de pensées et comportements suicidaires (STB) chez les adultes autistes, les principaux déterminants psychosociaux de ce phénomène restent inconnus. Afin d'étudier cette question, nous avons examiné comment l'exposition aux facteurs de stress au cours de la vie et leur gravité, qui se sont révélées prédire les STB dans les populations non autistes, étaient liées aux STB dans un ensemble de données multinational comprenant 226 adultes autistes du Royaume-Uni et d'Australie (67 % de femmes ; Mage = 41.8, SD = 13.6, étendue = 19–73 ans). Les résultats ont révélé que les hommes et les femmes autistes diffèrent quant au nombre, à la gravité et au type de facteurs de stress qu'ils ont vécus au cours de leur vie. Alors que les hommes autistes étaient exposés à un plus grand nombre de facteurs de stress liés au droit/à la criminalité, les femmes autistes connaissaient davantage de facteurs de stress liés aux relations sociales et à l'humiliation chronique et vivaient généralement les facteurs de stress comme plus graves. En outre, alors que la perte interpersonnelle chronique était liée aux STB chez les hommes, des facteurs de stress aigus impliquant un danger physique et une exposition moindre à l'enfermement chronique étaient liés aux STB chez les femmes autistes. Ces résultats indiquent que certains facteurs de stress survenant au cours de la vie peuvent être vécus différemment et être pertinents pour les STB chez les hommes autistes par rapport aux femmes autistes. Ils suggèrent également que le dépistage de l'exposition aux facteurs de stress au cours de la vie peut aider à identifier les personnes autistes présentant le risque de suicide le plus élevé.
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