TY - JOUR PY - 2024// TI - Examination of the potential moderating role of psychological wellbeing in the relationship between depression and thoughts of self-harm in autistic adolescents and adults: a two-year longitudinal study JO - Journal of autism and developmental disorders A1 - Hedley, Darren A1 - Uljarević, Mirko A1 - Bury, Simon M. A1 - Haschek, Alexandra A1 - Richdale, Amanda L. A1 - Trollor, Julian N. A1 - Stokes, Mark A. SP - ePub EP - ePub VL - ePub IS - ePub N2 - PURPOSE: Autistic people have a significantly increased risk of death by suicide relative to the general population. In non-autistic samples, psychological wellbeing has been shown to moderate the relationship between depression and suicidal thoughts and behavior. Thoughts of self-harm may provide a useful indicator of suicidal risk. In this longitudinal study we examined (a) the potential role for psychological wellbeing to moderate the relationship between depressive symptoms and thoughts of self-harm and (b) the contribution of autistic traits to thoughts of self-harm.

METHODS: Participants were 209 autistic adolescents and adults aged 15 to 80 years (M(age) = 34.20, SD = 15.38 years).

RESULTS: At both baseline and 2-year follow-up, 35% of participants reported recent thoughts of self-harm. Wellbeing was associated with autistic traits (r = - .350 to - 0.404) and depression (r = - .480 to - 0.759). Thoughts of self-harm were positively associated with autistic traits and depression (r = .242 to 0.659), and negatively associated with wellbeing (r = - .287 to - 0.609). Controlling for baseline thoughts of self-harm, depression (β = 0.254, p = .001) and autistic traits (β = 0.162, p = .007) significantly predicted thoughts of self-harm at 2-year follow-up.

CONCLUSION: Despite a lack of support for the hypothesis that wellbeing would moderate the relationship between depression and thoughts of self-harm, correlational data demonstrated significant associations between wellbeing and both depression and thoughts of self-harm. Future research considering psychological wellbeing as a potential protective factor for self-harm in autistic people is warranted.

Language: en

LA - en SN - 0162-3257 UR - http://dx.doi.org/10.1007/s10803-024-06489-x ID - ref1 ER -