Evidence map›Paper›PMID 36922899›Full record

SynthesisMolecular autism2023

A systematic review and meta-analysis of suicidality in autistic and possibly autistic people without co-occurring intellectual disability.

Victoria Newell, Lucy Phillips, Chris Jones, Ellen Townsend, Caroline Richards, Sarah Cassidy

Open access · goldFull text readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Molecular autism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
19.4field-weighted citation impact, top 1% 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Autism, youth suicide, and psychedelics: A review of the 21st century evidence.Journal of the Chinese Medical Association : JCMA · 2024
    Pooled it
  3. Article
  4. Low Battery Alarm; A Scoping Review of Autistic Burnout.Journal of autism and developmental disorders · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Occurrence and Correlates of Suicidal Thoughts Among Young Autistic Users of a Mental Health App.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
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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

6 authors at 3 institutions in 1 country.

Victoria NewellSchool of Psychology, University of Nottingham, University Park, Nottingham, NG7 2RD, UK. victoria.newell@nottingham.ac.uk.
Lucy PhillipsSchool of Sport, Exercise and Health Sciences, Loughborough University, Epinal Way, Loughborough, LE11 3TU, UK.
Chris JonesSchool of Psychology, University of Birmingham, 52 Pritchatts Road, Birmingham, B15 2TT, UK.
Ellen TownsendSchool of Psychology, University of Nottingham, University Park, Nottingham, NG7 2RD, UK.
Caroline RichardsSchool of Psychology, University of Birmingham, 52 Pritchatts Road, Birmingham, B15 2TT, UK.
Sarah CassidySchool of Psychology, University of Nottingham, University Park, Nottingham, NG7 2RD, UK.
University of Nottingham · GBUniversity of Birmingham · GBLoughborough University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuicidality is highly prevalent in autistic people without co-occurring intellectual disabilities, and high autistic traits are found in adults who have attempted suicide. However, prevalence rates for both autistic and possibly autistic people have not been synthesised meta-analytically.

aimsTo (1) calculate pooled prevalence estimates of suicidality in autistic people and possibly autistic people without co-occurring intellectual disability; (2) evaluate the influence of participant and study level characteristics on heterogeneity; and (3) determine the quality of evidence.

methodsPreferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were followed. PsycINFO, Embase, MEDLINE and Web of Science were systematically searched from 1992 to January 25, 2022. Empirical quantitative studies reporting prevalence of suicidal ideation, suicide plans, or suicide attempts and behaviours were considered for inclusion. Random effects models were used to estimate pooled prevalence of each suicidality outcome with 95% confidence intervals. Heterogeneity was explored using sensitivity and moderator analyses.

resultsData from 48,186 autistic and possibly autistic participants in 36 primary studies were meta-analysed. Pooled prevalence of suicidal ideation was 34.2% (95% CI 27.9-40.5), suicide plans 21.9% (13.4-30.4), and suicidal attempts and behaviours 24.3% (18.9-29.6). High levels of heterogeneity (I

conclusionsThe results confirm suicidality is highly prevalent in both autistic and possibly autistic people without co-occurring intellectual disability and highlights potential moderators. Possibly autistic individuals require more attention in clinical and research considerations going forward to further understand and prevent suicide in both groups.

Indexed as

Autistic DisorderIntellectual DisabilitySuicideAdultHumansMaleSuicidal IdeationSuicide, AttemptedAsperger syndromeAttempted suicideAutism spectrum disorderAutistic disorderMeta-analysisPrevalenceSelf-injurious behaviourSuicidal behaviourSuicidal ideationSuicide

Identifiers

PMID36922899
PMCPMC10018918
OpenAlexW4324354182

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read40
measurements read557
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.