Liens entre l’automutilation et la suicidalité dans l’autisme

Titre original en anglais : Links between self-injury and suicidality in autism

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Moseley, R., Gregory, N., Smith, P., Allison, C., & Baron-Cohen, S. (2020). Links between self-injury and suicidality in autism. Molecular Autism, 11(1), 14-14. https://doi.org/10.1186/s13229-020-0319-8

Date de publication: 10/02/2020 Ajout dans AutiHub: 06/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
5
Auteur·ices de la publication identifié·es comme autistes
1 / 5 (20,0 %)
  1. Rachel Moseley *
  2. Nicola Gregory
  3. Paula Smith
  4. Carrie Allison
  5. Simon Baron-Cohen

Résumé

CONTEXTE : Les personnes autistes sans déficience intellectuelle présentent un risque accru d’automutilation et semblent s’y livrer pour des raisons similaires à celles des personnes non autistes. Une grande divergence des perspectives autistes sur l’automutilation, y compris celles qui la présentent comme un mécanisme d’adaptation utile, motive l’étude du lien entre l’automutilation, l’idéation suicidaire et les tentatives de suicide qui a été signalé chez des individus au développement typique. MÉTHODE : Cent trois participants autistes ont rempli le Non-Suicidal Self-Injury Assessment Tool (NSSI-AT), le Suicide Behaviors Questionnaire (SBQ-R) et l’Interpersonal Social Evaluation List (ISEL-12) dans le cadre de deux études en ligne. Une régression logistique a été effectuée afin de prédire le statut d’automutilation à partir des réponses aux questions sur la suicidalité, et de prédire si certains comportements auto-agressifs, y compris les coupures, étaient particulièrement associés à l’idéation suicidaire et aux tentatives de suicide. Une analyse de corrélation non paramétrique a examiné les relations entre l’idéation suicidaire/les tentatives de suicide et d’autres variables susceptibles de caractériser les personnes qui s’automutilent et qui présentent un risque particulièrement élevé de suicidalité. Celles-ci comprenaient l’accès perçu au soutien social, les buts ou raisons de l’automutilation, le nombre de différents comportements auto-agressifs pratiqués, la durée et l’incidence de l’automutilation au cours de la vie, ainsi que les sentiments de l’individu à l’égard de son automutilation. RÉSULTATS : Bien que le statut d’automutilation ait été significativement prédit par les réponses à une question sur l’idéation suicidaire et les tentatives de suicide, aucune relation n’a été observée entre l’idéation suicidaire/les tentatives de suicide et les sentiments personnels d’un participant à l’égard de son automutilation. La méthode des coupures a également été prédite par l’idéation suicidaire et les tentatives de suicide, bien que d’autres méthodes fréquentes chez les personnes autistes aient présenté une significativité limite. L’utilisation de l’automutilation pour réguler des états émotionnels de faible énergie tels que la dépression, pour l’auto-punition ou la dissuasion du suicide, et pour la stimulation sensorielle, était associée à l’idéation suicidaire et aux tentatives de suicide, de même que le nombre de comportements auto-agressifs pratiqués. Aucune relation significative n’a été observée entre l’idéation suicidaire/les tentatives de suicide et la durée et l’incidence de l’automutilation au cours de la vie, ou le soutien social. CONCLUSIONS : Ces données préliminaires suggèrent que, bien que les individus puissent présenter leur automutilation comme une chose positive ou neutre, il subsiste une relation préoccupante entre l’automutilation et la suicidalité, indépendamment des sentiments individuels à l’égard de l’automutilation. Cela est cohérent avec la perspective théorique selon laquelle l’automutilation peut être une « passerelle » par laquelle les individus acquièrent la capacité d’adopter des comportements suicidaires létaux. Les données soulignent que certaines méthodes particulières, notamment les coupures, et certaines raisons de l’automutilation peuvent être très préoccupantes, mais ces informations, qui pourraient être d’une valeur extrême pour les cliniciens, nécessitent des recherches et une validation supplémentaires.

BACKGROUND: Autistic individuals without intellectual disability are at heightened risk of self-injury, and appear to engage in it for similar reasons as non-autistic people. A wide divergence of autistic perspectives on self-injury, including those who frame it as a helpful coping mechanism, motivate investigating the link between self-injury, suicide ideation, and attempts which has been reported in typically developing individuals. METHOD: One hundred three autistic participants completed the Non-Suicidal Self-Injury Assessment Tool (NSSI-AT), the Suicide Behaviors Questionnaire (SBQ-R), and the Interpersonal Social Evaluation List (ISEL-12) across two online studies. Logistic regression was conducted to predict self-harming status via responses to questions on suicidality, and to predict whether certain self-injurious behaviors, including cutting, were especially associated with suicide ideation and attempts. Non-parametric correlation analysis examined relationships between suicide ideation/attempts and other variables that might characterize self-harmers especially at risk of suicidality. These included perceived access to social support, purposes or reasons for self-injury, the number of different self-injurious behaviors engaged in, the duration and lifetime incidence of self-injury, and the individual's feelings about their self-injury. RESULTS: While self-injuring status was significantly predicted by responses to a question on suicide ideation and attempts, there was no relationship between suicide ideation/attempts and a participant's personal feelings about their self-injury. The method of cutting was also predicted by suicide ideation and attempts, though other methods common in autistic people were at borderline significance. Use of self-injury for the regulation of low-energy emotional states like depression, for self-punishment or deterrence from suicide, and for sensory stimulation, was associated with suicide ideation and attempts, as was the number of self-injurious behaviors engaged in. There was no significant relationship between suicide ideation/attempts and the duration and lifetime incidence of self-injury or social support. CONCLUSIONS: These preliminary data suggest that while individuals might frame their self-injury as a positive or neutral thing, there remains a concerning relationship between self-injury and suicidality which exists regardless of individual feelings on self-injury. This is consistent with the theoretical perspective that self-injury can be a "gateway" through which individuals acquire capability for lethal suicidal behaviors. The data highlight that particular methods (cutting) and reasons for self-injury may be of significant concern, but this information, which might be of extreme value for clinicians, requires further investigation and validation.

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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
133
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
1 / 133 (0,8 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
1 / 608 (0,2 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 1 / 79 (1,3 %). Auteurices cité·es distinct·es identifié·es comme autistes : 1 / 548 (0,2 %).
Occurrences citées rattachées à la base AutiHub
79 / 608 (13,0 %)
Auteurices cité·es distinct·es rattaché·es : 59 / 548 (10,8 %)
Occurrences rattachées, non identifiées comme autistes
78 / 79 (98,7 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 78 / 608 (12,8 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 58 / 59 (98,3 %).
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