Evidence map›Paper›PMID 40922768›Full record

ArticleJAACAP open2025

Correlates of Deliberate Self-Harm in Youth With Autism and/or Intellectual Disability.

Carmen Lopez-Arvizu, Danielle L Steelesmith, Brittany N Hand, Rui Huang, Amanda J Thompson, Elyse N Llamocca, Bridget A Quinn, Cynthia A Fontanella, John V Campo

Abstract read
In one paragraph

Article in JAACAP open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Carmen Lopez-ArvizuKennedy Krieger Institute, Baltimore, Maryland.
Danielle L SteelesmithCenter for Suicide Prevention and Research, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Brittany N HandSchool of Health and Rehabilitation Sciences, Ohio State University, Columbus, Ohio.
Rui HuangCenter for Suicide Prevention and Research, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Amanda J ThompsonCenter for Suicide Prevention and Research, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Elyse N LlamoccaCenter for Health Policy and Health Services Research, Henry Ford Health, Detroit, Michigan.
Bridget A QuinnCenter for Suicide Prevention and Research, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
Cynthia A FontanellaCenter for Suicide Prevention and Research, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
John V CampoKennedy Krieger Institute, Baltimore, Maryland.

Funding

Embedded Mental Health Services Postdoctoral Research Training in Health SystemsT32MH125792 · NIMH · HENRY FORD HEALTH SYSTEM · PI Brian Kenneth Ahmedani · 2021 to 2026
$1.6M
NIMH NIH HHS T32 MH125792
6 · The paper itself

Abstract

Objective: To identify correlates of deliberate self-harm (DSH) in youth with autism and/or intellectual disability (ID). Method: This retrospective longitudinal cohort analysis used claims data for youth ages 5 to 24 years continuously enrolled in Medicaid in a midwestern state for 6 months and diagnosed with autism and/or ID between 2010 and 2020 (N = 41,230). Cox proportional hazards regression examined associations between demographic and clinical variables and time to DSH for study cohorts with autism and/or ID. Results: Autism was diagnosed in 34.3% of the sample, ID was diagnosed in 30.6%, and both autism and ID were diagnosed in 35.1%. Sample youth were predominantly male (73.4%) and had an internalizing (74.8%) or externalizing (62.1%) mental health condition. At least 1 DSH event was identified for 734 youths (2.6%) with autism and 686 youths (2.7%) with ID during follow-up. Increased risk of DSH was associated with older age; female sex; history of abuse or neglect; and co-occurring externalizing problems, internalizing problems, substance use, and thought problems for the autism cohort and ID cohort and with the presence of a chronic complex medical condition in the autism cohort. Risk of DSH was significantly lower for youth with moderate ID and youth eligible for Medicaid via disability and foster care. Conclusion: Risk factors for DSH in youth with autism and ID are similar to those in neurotypical youth and include increasing age, trauma, mental health conditions, substance use, and female sex. Clinician and consumer education regarding suicide risk and its correlates in youth with autism and ID warrants study.

Indexed as

autismintellectual disabilityself-injurious behaviorsuicide

Identifiers

PMID40922768
PMCPMC12414310

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.