Evidence map›Paper›PMID 39661252›Full record

ArticleJournal of autism and developmental disorders2026

Patients with Autism Spectrum or Intellectual Disability in the Psychiatric Emergency Department: Findings from a 10-year Retrospective Review.

Victor Hong, Fiona Miller, Shane Kentopp, Hannah Reynard, Bernard Biermann, Can Beser, Saad Shamshair, Bailey Fay, Ahmad Shobassy, Michelle Stanley and 3 more

Abstract read
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In one paragraph

Article in Journal of autism and developmental disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

13 authors.

Victor HongDepartment of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48105, USA. Vhong@med.umich.edu.ORCID http://orcid.org/0000-0002-9711-7736
Fiona MillerDepartment of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48105, USA.
Shane KentoppDepartment of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48105, USA.
Hannah ReynardDepartment of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48105, USA.
Bernard BiermannDepartment of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48105, USA.
Can BeserDepartment of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48105, USA.
Saad ShamshairDepartment of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48105, USA.
Bailey FayDepartment of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48105, USA.
Ahmad ShobassyDepartment of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48105, USA.
Michelle StanleyDepartment of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48105, USA.
Cody WestonDepartment of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48105, USA.
Mohammad GhaziuddinDepartment of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48105, USA.
Neera GhaziuddinDepartment of Psychiatry, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI, 48105, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is a dearth of information about patients with autism spectrum disorder (ASD) or intellectual disability (ID) who seek emergency psychiatric care. Given this backdrop, this retrospective study aims to explore clinical, demographic, and disposition-related information about this patient population over a 10-year period.

methodsThis study includes individuals with ASD or ID (n = 1461) and had presented to a psychiatric emergency department between 2012 and 2021. Data were extracted using a structured chart review methodology, and included demographic, clinical and visit information. Bivariate and multivariate logistic regressions were estimated to explore associations between key variables and dispositions of interest.

resultsSample was predominantly White (77.21%), adolescent (mean age ± SD = 15.5 ± 4.3) and male (72.76%). The most common reason for their presentation was aggression towards others (36.39%). 28.27% of patients were psychiatrically hospitalized but 30% of those who needed hospitalization were discharged due to lack of inpatient bed availability.

conclusionThis study adds to the limited literature about individuals with ASD or ID seeking emergency care. The results indicate a highly acute patient population with aggression, suicidal thoughts, and self-injurious behaviors who are frequently prescribed psychotropic medications and face barriers to accessing higher levels of care.

Indexed as

Autism Spectrum DisorderEmergency Service, HospitalEmergency Services, PsychiatricIntellectual DisabilityAdolescentAdultAggressionChildFemaleHospitalizationHumansMaleRetrospective StudiesYoung AdultAggressionAutismEmergency DepartmentIntellectual DisabilityPsychiatry

Identifiers

PMID39661252

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.