Evidence map›Paper›PMID 36974940›Full record

ArticleSuicide & life-threatening behavior2023

The role of anxiety and depression in suicidal thoughts for autistic and non-autistic people: A theory-driven network analysis.

Mirabel K Pelton, Hayley Crawford, Kim Bul, Ashley E Robertson, Jon Adams, Derek de Beurs, Jacqui Rodgers, Simon Baron-Cohen, Sarah Cassidy

Open access · hybridAbstract read
In one paragraph

Article in Suicide & life-threatening behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
6.7field-weighted citation impact, top 3% 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

13 citing papers in PubMed, 26 citations in OpenAlex.

  1. Exploring Patterns of Self-Harm in Autistic Adults Using the Card Sort Task for Self-Harm.Autism : the international journal of research and practice · 2026
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  4. Traumatic Experiences, Psychological Distress and Suicide-Related Behaviors in Autistic Adults.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  5. Article
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  9. Lifetime stressor exposure is related to suicidality in autistic adults: A multinational study.Autism : the international journal of research and practice · 2025
    Article
  10. Examining the Relationship Between Parental Broader Autism Phenotype Traits, Offspring Autism, and Parental Mental Health.Autism research : official journal of the International Society for Autism Research · 2025
    Article
  11. Occurrence and predictors of lifetime suicidality and suicidal ideation in autistic adults.Autism : the international journal of research and practice · 2024
    Article
  12. Article
  13. 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 at 8 institutions in 2 countries.

Mirabel K PeltonInstitute for Health and Wellbeing, Centre for Intelligent Healthcare, Coventry University, Coventry, UK.ORCID 0000-0002-3378-8944
Hayley CrawfordMental Health and Wellbeing Unit, Warwick Medical School, University of Warwick, Coventry, UK.
Kim BulInstitute for Health and Wellbeing, Centre for Intelligent Healthcare, Coventry University, Coventry, UK.
Ashley E RobertsonSchool of Psychology & Neuroscience, University of Glasgow, University Avenue, Glasgow, UK.
Jon AdamsAutistic Advocate and Researcher, Portsmouth, UK.
Derek de BeursTrimbos Instituut, Utrecht, The Netherlands.
Jacqui RodgersPopulation Health Sciences Institute, Sir James Spence Institute, Newcastle University, Royal Victoria Infirmary, Newcastle, UK.
Simon Baron-CohenAutism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK.
Sarah CassidySchool of Psychology, University of Nottingham, University Park, Nottingham, UK.ORCID 0000-0003-1982-3034
Intelligent Health (United Kingdom) · GBRoyal Victoria Infirmary · GBThe National Autistic Society · GBTrimbos Institute · NLUniversity of Cambridge · GBUniversity of Glasgow · GBUniversity of Nottingham · GBUniversity of Warwick · GB

Funding

Wellcome TrustWellcome Trust 214322\Z\18\Z
6 · The paper itself

Abstract

backgroundAutistic adults experience more frequent suicidal thoughts and mental health difficulties than non-autistic adults, but research has yet to explain how these experiences are connected. This study explored how anxiety and depression contribute to suicidal thoughts according to the Interpersonal Theory of Suicide for autistic and non-autistic adults.

methodsParticipants (autistic adults n = 463, 61% female; non-autistic n = 342, 64% female) completed online measures of anxiety, depression, thwarted belonging, and perceived burdensomeness. Network analysis explored whether: (i) being autistic is a risk marker for suicide; and (ii) pathways to suicidal thoughts are consistent for autistic and non-autistic adults.

resultsBeing autistic connected closely with feeling like an outsider, anxiety, and movement, which connected to suicidal thoughts through somatic experiences, low mood, and burdensomeness. Networks were largely consistent for autistic and non-autistic people, but connections from mood symptoms to somatic and thwarted belonging experiences were absent for autistic adults.

conclusionAutistic people experience more life stressors than non-autistic people leading to reduced coping, low mood, and suicidal thoughts. Promoting belonging, reducing anxiety, and understanding the role of movement could inform suicide prevention for autistic people. Research should accurately capture autistic lived experience when modeling suicide to ensure suicide prevention meets autistic needs.

Indexed as

Suicidal IdeationSuicideAdultAnxietyDepressionFemaleHumansInterpersonal RelationsMalePsychological TheoryRisk Factorsautisminterpersonal theory of suicidenetwork analysis

Identifiers

PMID36974940
PMCPMC10947106
OpenAlexW4361190093

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.