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

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Title: Patients with Autism Spectrum or Intellectual Disability in the Psychiatric Emergency Department: Findings from a 10-year Retrospective Review.
Authors: Hong, Victor (AUTHOR), Miller, Fiona (AUTHOR), Kentopp, Shane (AUTHOR), Reynard, Hannah (AUTHOR), Biermann, Bernard (AUTHOR), Beser, Can (AUTHOR), Shamshair, Saad (AUTHOR), Fay, Bailey (AUTHOR), Shobassy, Ahmad (AUTHOR), Stanley, Michelle (AUTHOR), Weston, Cody (AUTHOR), Ghaziuddin, Mohammad (AUTHOR), Ghaziuddin, Neera (AUTHOR)
Source: Journal of Autism & Developmental Disorders. May2026, Vol. 56 Issue 5, p1892-1901. 10p.
Subjects: Self-injurious behavior, Academic medical centers, Attention-deficit hyperactivity disorder, Suicidal ideation, Autism, Headache, Logistic regression analysis, Restraint of patients, Retrospective studies, Affective disorders, Antipsychotic agents, Descriptive statistics, Intellectual disabilities, Caregivers, Aggression (Psychology), Odds ratio, Medical appointments, Medical records, Acquisition of data, Epilepsy, Seizures (Medicine), Statistics, Asperger's syndrome, Anxiety disorders, Sociodemographic factors, Confidence intervals, Data analysis software, People with disabilities, Nosology, Inter-observer reliability, Adverse childhood experiences
Abstract: Purpose: There 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. Methods: This 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. Results: Sample 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. Conclusion: This 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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Patients with Autism Spectrum or Intellectual Disability in the Psychiatric Emergency Department: Findings from a 10-year Retrospective Review.
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: There 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. Methods: This 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. Results: Sample 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. Conclusion: This 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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    Identifiers:
      – Type: doi
        Value: 10.1007/s10803-024-06658-y
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 1892
    Subjects:
      – SubjectFull: Self-injurious behavior
        Type: general
      – SubjectFull: Academic medical centers
        Type: general
      – SubjectFull: Attention-deficit hyperactivity disorder
        Type: general
      – SubjectFull: Suicidal ideation
        Type: general
      – SubjectFull: Autism
        Type: general
      – SubjectFull: Headache
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Restraint of patients
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Affective disorders
        Type: general
      – SubjectFull: Antipsychotic agents
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Intellectual disabilities
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      – SubjectFull: Aggression (Psychology)
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      – SubjectFull: Odds ratio
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      – SubjectFull: Medical appointments
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      – SubjectFull: Medical records
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      – SubjectFull: Acquisition of data
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      – SubjectFull: Epilepsy
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      – SubjectFull: Seizures (Medicine)
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      – SubjectFull: Statistics
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      – SubjectFull: Asperger's syndrome
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      – SubjectFull: People with disabilities
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      – SubjectFull: Nosology
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      – SubjectFull: Inter-observer reliability
        Type: general
      – SubjectFull: Adverse childhood experiences
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      – TitleFull: Patients with Autism Spectrum or Intellectual Disability in the Psychiatric Emergency Department: Findings from a 10-year Retrospective Review.
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              Text: May2026
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