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This study compared these domains between autistic adolescents and adults with and without recent NSSI. 520 autistic adolescents and adults (260 with recent (past 6 months) NSSI; 260 age\u2010 and sex\u2010matched without recent NSSI group) completed measures of NSSI characteristics and functions, STBs, mental health, and autistic traits. Group comparisons were conducted with Benjamini\u2010Hochberg correction for multiple comparisons. The recent\u2010NSSI group demonstrated poorer psychological quality of life, lower self\u2010compassion, greater depression and anxiety, elevated autistic traits, and greater alexithymia and camouflaging than the no\u2010recent\u2010NSSI group. Lifetime passive suicidal thoughts, active suicidal thoughts, and suicide attempts were over four, five, and three times more likely in the recent\u2010NSSI group, respectively. All 36 participants who reported a recent suicide attempt occurred exclusively in the recent\u2010NSSI group. Regarding NSSI phenomenology, onset averaged 9.88\u2009years with an estimated average of 19\u2009years elapsed since NSSI onset; banging\/hitting (66.9%) and wound interference (62.7%) were more common than cutting (35.4%). Affect regulation and self\u2010punishment were the most endorsed functions (motivations). Autistic people who recently engaged in NSSI are characterized by difficulties in self\u2010compassion, elevated psychiatric symptoms, and pronounced STBs. While findings on NSSI methods in the non\u2010autistic population are mixed, our sample showed meaningful divergence from typical non\u2010autistic presentations, characterized not only by differences in methods but also by a distinctive childhood onset and a longer interval since NSSI onset. Future research should prioritize longitudinal investigations to clarify causal pathways across the lifespan.<\/jats:p>","DOI":"10.1002\/aur.70370","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T10:17:58Z","timestamp":1789985878000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Recent Non\u2010Suicidal Self\u2010Injury in Autistic Adolescents and Adults: Characteristics, Clinical Correlates and Suicidal Thoughts and Behaviors"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5704-5408","authenticated-orcid":false,"given":"Safaa","family":"Eldeeb","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0603-9371","authenticated-orcid":false,"given":"Ligia","family":"Antezana","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6224-2086","authenticated-orcid":false,"given":"Caitlin M.","family":"Conner","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8094-6362","authenticated-orcid":false,"given":"Kelly B.","family":"Beck","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7944-7299","authenticated-orcid":false,"given":"Sarah E.","family":"Victor","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences Texas Tech University  Lubbock Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5424-069X","authenticated-orcid":false,"given":"Aliona","family":"Tsypes","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5238-876X","authenticated-orcid":false,"given":"Lori N.","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7467-0902","authenticated-orcid":false,"given":"Carla A.","family":"Mazefsky","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM\u20105","author":"American Psychiatric Association","year":"2013"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12330"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/13623613241304503"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12120"},{"key":"e_1_2_11_6_1","unstructured":"Antezana L.2026.\u201cStimming and Self\u2010Injury in the Context of Emotion Dysregulation: Interviews With Autistic Adults Adolescents and Caregivers.\u201d"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/25739581261423792"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010023\u201005099\u20108"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12910\u2010020\u201000479\u20101"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361320912147"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/13623613251388627"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/aut.2023.0214"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.02.006"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/2167702613514563"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2018.07.001"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010022\u201005668\u2010y"},{"issue":"5","key":"e_1_2_11_17_1","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1177\/13623613231196085","article-title":"Predicting the Financial Wellbeing of Autistic Adults: Part I","volume":"28","author":"Cai R. 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