A Systematic Review of Suicidality in People with Intellectual Disabilities

Dodd, Philip; Doherty, Ailbhe; Guérin, Suzanne

doi:10.1097/hrp.0000000000000095

Cited by 35 publications

(42 citation statements)

References 38 publications

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“…In general, these data are not surprising as it mirrors international research that has previously reported on suicidal behaviours by people with ID, both within community and residential settings and across a variety of ID classifications (e.g. Patja et al ., ; Merrick et al ., ; Mollison et al ., ; Dodd et al ., ). However, the current study does represent one of the few Australian studies that has specifically considered suicide amongst this cohort of people and reinforces the fact that suicide is not unknown in this population despite the minimal research focus.…”

Section: Discussionmentioning

confidence: 97%

“…However, only a small number of studies have actively considered and reported on suicide and suicidal behaviours amongst people with ID since Sternlicht et al . in 1970 (Dodd et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…As noted by Dodd et al . (), there is a lack of research regarding the incidence rates of suicide. The data from the current study do not allow for this to be calculated, but it does support the notion that suicide is both recognised and reported amongst people with ID, and a more comprehensive Australian study to determine incident rates is highly recommended to quantify this issue.…”

Section: Discussionmentioning

confidence: 99%

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Suicide amongst people with intellectual disability: An Australian online study of disability support staff experiences and perceptions

Wark

McKay

Ryan

et al. 2017

J intellect Disabil Res

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Background Individuals with intellectual disability (ID) have a higher likelihood of exposure to identified risk factors for suicide when compared with the general community and have been recognised as being both capable of forming intent for suicide and acting on this intent. However, in spite of research outlining these concerns from the 1970s, there remains a dearth of studies that examine suicide amongst the population of people with ID. Method An online cross-sectional survey was purposively developed, with questions aimed at identifying both the experiences and current practices of support staff who assist people with ID in relation to suicide, suicidal behaviour and suicide assessment. It was undertaken across both rural and metropolitan areas in Australia. The survey was open for a period of 12 months. A total of 139 respondents (109 female/30 male), with a mean age of 41 and an average 12 years of experience in supporting people with ID, completed the tool. Results A total of nine suicides by people with ID were reported. Seventy-seven per cent of the

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Section: Discussionmentioning

confidence: 97%

“…However, only a small number of studies have actively considered and reported on suicide and suicidal behaviours amongst people with ID since Sternlicht et al . in 1970 (Dodd et al, ).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Suicide amongst people with intellectual disability: An Australian online study of disability support staff experiences and perceptions

Wark

McKay

Ryan

et al. 2017

J intellect Disabil Res

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“…One other factor that may have constrained participation by people with intellectual disability in end‐of‐life research is the very limited availability of intellectual disability‐specific end‐of‐life assessments. Dodd, Doherty, and Guerin () commented on this problem in relation to suicidality (see below). McEvoy et al.…”

Section: Whose Voices Are Represented?mentioning

confidence: 99%

“…Dodd et al. () published a review of suicidality among people with intellectual disability. They found a number of important research gaps, such as a lack of intellectual disability‐specific assessments of suicidality and an absence of specific therapeutic interventions for suicidality.…”

Section: Future Researchmentioning

confidence: 99%

End of life and people with intellectual disability

Stancliffe

Wiese

Read

2017

Research Intellect Disabil

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Investigating Bullying as a Predictor of Suicidality in a Clinical Sample of Adolescents with Autism Spectrum Disorder

et al. 2020

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For typically developing adolescents, being bullied is associated with increased risk of suicidality. Although adolescents with autism spectrum disorder (ASD) are at increased risk of both bullying and suicidality, there is very little research that examines the extent to which an experience of being bullied may increase suicidality within this specific population. To address this, we conducted a retrospective cohort study to investigate the longitudinal association between experiencing bullying and suicidality in a clinical population of 680 adolescents with ASD. Electronic health records of adolescents (13–17 years), using mental health services in South London, with a diagnosis of ASD were analyzed. Natural language processing was employed to identify mentions of bullying and suicidality in the free text fields of adolescents' clinical records. Cox regression analysis was employed to investigate the longitudinal relationship between bullying and suicidality outcomes. Reported experience of bullying in the first month of clinical contact was associated with an increased risk suicidality over the follow‐up period (hazard ratio = 1.82; 95% confidence interval = 1.28–2.59). In addition, female gender, psychosis, affective disorder diagnoses, and higher intellectual ability were all associated with suicidality at follow‐up. This study is the first to demonstrate the strength of longitudinal associations between bullying and suicidality in a clinical population of adolescents with ASD, using automated approaches to detect key life events within clinical records. Our findings provide support for identifying and dealing with bullying in schools, and for antibullying strategy's incorporation into wider suicide prevention programs for young people with ASD. Autism Res 2020, 13: 988‐997. © 2020 The Authors. Autism Research published by International Society for Autism Research published by Wiley Periodicals, Inc. Lay Summary We investigated the relationship between bullying and suicidality in young people with autism spectrum disorder (ASD). We examined the clinical records of adolescents (aged 13–18 years old) with ASD in South London who were receiving treatment from Child and Adolescent Mental Health Services. We found that if they reported being bullied in the first month after they were first seen by mental health services, they were nearly twice as likely to go on to develop suicidal thoughts or behaviors.

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A Systematic Review of Suicidality in People with Intellectual Disabilities

Cited by 35 publications

References 38 publications

Suicide amongst people with intellectual disability: An Australian online study of disability support staff experiences and perceptions

Suicide amongst people with intellectual disability: An Australian online study of disability support staff experiences and perceptions

End of life and people with intellectual disability

Investigating Bullying as a Predictor of Suicidality in a Clinical Sample of Adolescents with Autism Spectrum Disorder

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