The Prevalence of Suicidal Behavior in Autism Spectrum Disorder.

Background: Suicidal ideation (SI) and suicide attempts (SA) are common in autistic individuals, but prevalence rates have not yet been estimated with meta-analysis. Aims: This meta-analysis aims to estimate SI and SA prevalence rates in autistic individuals and identify subgroup differences based on sample characteristics and study quality. Methods: A systematic search identified 52 studies with 88,509 autistic participants reporting SI and SA. Pooled prevalence estimates were calculated using a random-effects model. Results: Pooled prevalence estimates of lifetime SI and SA were 37.2% [95% CI 25.3-50.8] and 15.3% [95% CI 9.5-23.6], respectively. For 12-month prevalence, this was 25.4% [95% CI 19.0-33.2] and 14.1% [95% CI 7.4-25.2], respectively. Subgroup analyses revealed significant differences based on age (SI), region (SI), data collection (SI), measurement scales used to define autism and suicidality (SA), and representation of the study sample (SI and SA). Heterogeneity measures were high for all outcomes (I2 = 60.3-99.1%). Limitations: The heterogeneity of the included studies may limit the generalizability of our findings. Conclusion: The high rates of suicidal problems in autistic individuals call for a systematic evaluation of suicidality in clinical practice and adequate therapeutic interventions to improve this condition.

Longitudinal Validation of the Levenson Self-Report Psychopathy (LSRP) Scale in a High-Risk Dutch Community Sample.

The Levenson Self-Report Psychopathy (LSRP) scale is a self-report measure that can be used to assess psychopathic traits in community samples, and recent research suggested that its three-factor model (Egocentricity, Callousness, and Antisocial) has promising psychometric properties. However, no study to date has validated the LSRP in a longitudinal framework. The present study sought to validate the LSRP scale in a longitudinal design using a sample of Dutch emerging adults (ns = 970 and 693 at time points 1 and 2, respectively). We assessed longitudinal measurement invariance and the stability of psychopathic traits over an 18-month time period, from age 20 to age 21.6. Furthermore, we replicated and extended findings on the factor structure, reliability, and construct validity of the Dutch LSRP scale. Confirmatory factor analysis revealed that the three-factor model fit the data well. Evidence of partial longitudinal measurement invariance was observed, which means that the Dutch translation of the LSRP scale is measuring an equivalent construct (and overall latent factor structure) over time. Psychopathic traits were relatively stable over time. The three LSRP subscales showed largely acceptable levels of internal consistency at both time points and showed conceptually expected patterns of construct validity and predictive validity, with a few notable exceptions.