Evidence map›Paper›PMID 36450307›Full record

ArticleNeurobiology of learning and memory2023

The combination of autism and exceptional cognitive ability is associated with suicidal ideation.

Lucas G Casten, Taylor R Thomas, Alissa F Doobay, Megan Foley-Nicpon, Sydney Kramer, Thomas Nickl-Jockschat, Ted Abel, Susan Assouline, Jacob J Michaelson

Open access · greenAbstract read
In one paragraph

Article in Neurobiology of learning and memory, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
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

5 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. Lifetime stressor exposure is related to suicidality in autistic adults: A multinational study.Autism : the international journal of research and practice · 2025
    Article
  4. Review
  5. Review
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 at 2 institutions in 1 country.

Lucas G CastenDepartment of Psychiatry, University of Iowa, United States; Interdisciplinary Graduate Program in Genetics, University of Iowa, United States; Iowa Neuroscience Institute, University of Iowa, United States.
Taylor R ThomasDepartment of Psychiatry, University of Iowa, United States; Interdisciplinary Graduate Program in Genetics, University of Iowa, United States; Iowa Neuroscience Institute, University of Iowa, United States.
Alissa F DoobayBelin-Blank Center, University of Iowa, United States; Department of Psychological and Quantitative Foundations, University of Iowa, United States.
Megan Foley-NicponBelin-Blank Center, University of Iowa, United States; Department of Psychological and Quantitative Foundations, University of Iowa, United States.
Sydney KramerDepartment of Psychiatry, University of Iowa, United States; Iowa Neuroscience Institute, University of Iowa, United States.
Thomas Nickl-JockschatDepartment of Psychiatry, University of Iowa, United States; Iowa Neuroscience Institute, University of Iowa, United States; Department of Neuroscience and Pharmacology, University of Iowa, United States.
Ted AbelIowa Neuroscience Institute, University of Iowa, United States; Department of Neuroscience and Pharmacology, University of Iowa, United States.
Susan AssoulineBelin-Blank Center, University of Iowa, United States; Department of Psychological and Quantitative Foundations, University of Iowa, United States.
Jacob J MichaelsonDepartment of Psychiatry, University of Iowa, United States; Iowa Neuroscience Institute, University of Iowa, United States. Electronic address: jacob-michaelson@uiowa.edu.
University of Iowa · USBlank Children's Hospital · US

Funding

University of Iowa Hawkeye Intellectual and Developmental Disabilities Research Center (Hawk-IDDRC)P50HD103556 · NICHD · UNIVERSITY OF IOWA · PI EDWIN TED G. ABEL, Lane Strathearn · 2021 to 2026
$8.5M
PREDOCTORAL TRAINING PROGRAM IN GENETICST32GM008629 · NIGMS · UNIVERSITY OF IOWA · PI EBERL, DANIEL F · 1997 to 2021
$4.1M
Understanding the biology of language impairment through whole genome sequencingR01DC014489 · NIDCD · UNIVERSITY OF IOWA · PI MICHAELSON, JACOB JAMES · 2016 to 2020
$3.1M
A novel approach for understanding how sex influences polygenic score associationsR01HG012697 · NHGRI · UNIVERSITY OF IOWA · PI MICHAELSON, JACOB JAMES, STRANG, JOHN · 2022 to 2025
$2.1M
NHGRI NIH HHS R01 HG012697NICHD NIH HHS P50 HD103556NIDCD NIH HHS R01 DC014489NIGMS NIH HHS T32 GM008629
6 · The paper itself

Abstract

Autism with co-occurring exceptional cognitive ability is often accompanied by severe internalizing symptoms and feelings of inadequacy. Whether cognitive ability also translates into greater risk for suicidal ideation is unclear. To investigate this urgent question, we examined two samples of high-ability autistic individuals for factors that were predictive of suicidal ideation. In the first sample (N = 1,074 individuals seen at a clinic specializing in gifted/talented youth), we observed a striking excess of parent-reported suicidal ideation in autistic individuals with IQ ≥ 120 (Odds Ratio = 5.9, p=0.0007). In a separate sample of SPARK participants, we confirmed higher rates of suicidal thoughts compared to non-autistic children from the ABCD cohort (combined N = 16,049, Odds Ratio = 6.8, p<2.2e-16), and further that autistic children with suicidal thoughts had significantly higher cognitive ability (p<2.2e-16) than those without. Elevated polygenic scores (PGS) for cognitive performance were associated with increased suicidal thoughts (N = 1,983, Z=2.16,p=0.03), with PGS for educational attainment trending in the same direction (Z=1.4,p=0.17). Notably, similar results were found in parents of these autistic youth, where higher PGS for educational attainment was associated with increasing thoughts of suicide (N = 736, Z=2.28,p=0.02). Taken together, these results suggest that on a phenotypic and genetic level, increasing cognitive ability is an unexpected risk factor for suicidal ideation in individuals diagnosed with, or at risk for autism.

Indexed as

Autistic DisorderSuicidal IdeationAdolescentChildCognitionEmotionsHumansRisk FactorsSuicide, AttemptedAutismCognitionGeneticsIntelligenceMental healthPolygenic scoresPsychiatrySuicideTwice-exceptional

Identifiers

PMID36450307
PMCPMC10088461
OpenAlexW4310267214

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.