Evidence map›Paper›PMID 41249296›Full record

ArticleScientific reports2025

Understanding the interplay of autistic traits, depression and suicidal ideation in adolescents with major depressive disorder.

Anil Altunkaya, Sezen Kose, Ipek Inal Kaleli, Seda Sari, Birsen Senturk Pilan, Tezan Bildik

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Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Anil AltunkayaDepartment of Child and Adolescent Psychiatry, Ege University Faculty of Medicine, Izmir, Turkey.ORCID http://orcid.org/0009-0003-5000-3488
Sezen KoseDepartment of Child and Adolescent Psychiatry, Ege University Faculty of Medicine, Izmir, Turkey.ORCID http://orcid.org/0000-0001-6631-9549
Ipek Inal KaleliDepartment of Child and Adolescent Psychiatry, Ege University Faculty of Medicine, Izmir, Turkey. ipekinal93@gmail.com.ORCID http://orcid.org/0000-0003-2148-2363
Seda SariDepartment of Child and Adolescent Psychiatry, Ege University Faculty of Medicine, Izmir, Turkey.ORCID http://orcid.org/0000-0003-4066-7515
Birsen Senturk PilanDepartment of Child and Adolescent Psychiatry, Ege University Faculty of Medicine, Izmir, Turkey.ORCID http://orcid.org/0000-0002-4580-7655
Tezan BildikDepartment of Child and Adolescent Psychiatry, Ege University Faculty of Medicine, Izmir, Turkey.ORCID http://orcid.org/0000-0002-0032-7025

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adolescents with autistic traits (ATs) experience higher rates of depression and suicidal behavior. This study aims to investigate the relationship between ATs, depressive symptoms, and suicidal ideation (SI) in adolescents with major depressive disorder (MDD). Seventy adolescents, aged 11-18 and diagnosed with MDD, were included. Participants were evaluated with the ColumbiaSuicide Severity Rating Scale (CSSR-S), Beck Depression Inventory (BDI), and ATs using the Autism Spectrum Quotient (AQ). Three groups were compared: those without suicidal thoughts (ST-), suicidal thoughts (ST+), and suicide attempts (SA). While the SA group scored significantly higher on the C-SSRS, BDI, and AQ compared to the ST- group; ST + and SA groups didn't differ. The mediating role of depression was investigated via a Bayesian mediator analysis for CSSR-S subheaders of current and lifetime suicidal ideation and ideation intensity. The effect of BDI scores on current suicidal ideation was β = 0.08 (CI[0.04-0.13]), which was consistent with lifetime suicidal ideation with the same effect size β = 0.08 (CI[0.03-0.13]). For current suicidal ideation and its intensity, autistic traits had an indirect effect through BDI scores, with an indirect mean of 0.050 (CI[0.02-0.10]). For lifetime suicidal ideation, autistic traits exhibited both a direct (β = 0.09, (CI[0.01-0.16]) and an indirect effect through depression scores, with a mean of 0.052 (CI [0.015-0.102]). The complex interplay between ATs, depressive symptoms, and SI in adolescents diagnosed with MDD suggests that interventions targeting autistic traits may be a useful component of comprehensive mental health strategies for adolescents with MDD and elevated suicidal risk.

Indexed as

Autism Spectrum DisorderAutistic DisorderDepressionMajor Depressive DisorderSuicidal IdeationAdolescentBayes TheoremChildFemaleHumansMalePsychiatric Status Rating ScalesSuicide, AttemptedAdolescentsAutistic traitsDepressionSuicidal behavior

Identifiers

PMID41249296
PMCPMC12623850

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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.