Do Autistic People Get Injured More?

A study published in the Journal of Autism and Developmental Disorders in 2018 found that adolescents and adults with ASD were more likely to experience injuries that required medical attention than those without ASD.

Published on
June 13, 2024
Do Autistic People Get Injured More?

Do Autistic People Get Injured More?

Do Autistic People Get Injured More?

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by social communication difficulties, repetitive behaviors, and restricted interests.

People with ASD may experience sensory processing issues, have difficulty with coordination and balance, and struggle with transitions and changes to their routines. These challenges may lead some to wonder if autistic people get injured more often than those without ASD.

Research Findings

Several studies have examined injury rates among autistic individuals. A 2014 study published in the Journal of Autism and Developmental Disorders found that children with ASD had a higher likelihood of injury than typically developing children.

The researchers suggested that sensory processing difficulties and behavioral challenges may contribute to the increased risk of injury.

Another study published in the Journal of Autism and Developmental Disorders in 2018 found that adolescents and adults with ASD were more likely to experience injuries that required medical attention than those without ASD.

The researchers suggested that difficulties with social communication and safety awareness may play a role in the higher injury rates.

“There is mounting evidence that, as they grow, children with autism experience a much greater risk of dying from injury, particularly drowning, than their peers,” says Guoha Li

However, not all studies have found a significant difference in injury rates between autistic and non-autistic individuals. A 2019 study published in the Journal of Autism and Developmental Disorders found no significant difference in injury rates between autistic and non-autistic children.

Free Boy Running to Woman Stock Photo

What's The Connection Between Getting Injured and Autism?

The connection between autism and injury may not be straightforward. However, some factors may contribute to the increased likelihood of injuries among autistic individuals.

Sensory processing difficulties can make it challenging for autistic individuals to navigate their environment safely.

For example, a loud noise or bright light may cause discomfort or distress, leading them to cover their ears or close their eyes. This reaction can cause them to miss important safety cues in their surroundings, making them more vulnerable to accidents.

Autistic individuals may also have difficulty with coordination and balance due to motor planning challenges. These difficulties can make it harder for autistic individuals to engage in physical activities like sports or riding a bike, increasing their risk of getting injured.

Moreover, behavioral challenges such as impulsivity and repetitive behaviors can also contribute to the higher risk of injuries among autistic individuals. For instance, an individual with ASD who engages in repetitive behaviors like head-banging or hand-flapping may accidentally hurt themselves.

It is essential to note that the connection between autism and injury is complex and multifaceted. More research is needed to better understand the underlying factors contributing to this relationship.

10 Reasons Why People With Autism Get Injured More

  1. Sensory Processing Issues: Autistic individuals may have difficulty processing sensory information, making it challenging to navigate their environment safely. For example, a sudden loud noise or bright light can cause discomfort or distress, leading them to cover their ears or close their eyes. This reaction can cause them to miss important safety cues in their surroundings.
  2. Motor Planning Challenges: Autistic individuals may struggle with coordination and balance due to motor planning challenges, which can make it harder for them to engage in physical activities like sports or riding a bike. This difficulty increases the risk of getting injured while attempting these activities.
  3. Behavioral Challenges: Impulsivity and repetitive behaviors are common among individuals with ASD and can also contribute to the higher risk of injuries. For instance, an individual with ASD who engages in repetitive behaviors like head-banging or hand-flapping may accidentally hurt themselves.
  4. Lack of Safety Awareness: Some autistic individuals may have difficulty understanding and following safety rules. They may not recognize dangerous situations or understand how to avoid them, increasing their risk of injury.
  5. Communication Difficulties: Autistic individuals may have trouble communicating their needs and preferences effectively, which can lead to misunderstandings and unsafe situations.
  6. Limited Social Support: Autistic individuals may have limited social support networks, making it harder for them to receive help when needed or learn about safety practices from peers.
  7. Difficulty Adjusting to Change: Changes in routine or environment can be challenging for autistic individuals and increase anxiety levels, leading to more accidents.
  8. Co-occurring Conditions: Many autistic individuals have co-occurring conditions that increase the risk of injury, such as epilepsy or ADHD.
  9. Medication Side Effects: Some medications used to treat autism-related symptoms may have side effects that affect coordination or balance, increasing the risk of falls and other injuries.
  10. Stigma and Discrimination: Unfortunately, some autistic individuals face stigma and discrimination, which can limit their access to safe environments and opportunities for physical activity. This lack of access increases the risk of injury due to a lack of experience or training in navigating challenging situations.

Preventing Injuries

Regardless of whether or not autistic individuals are more prone to injury, it's important to take steps to prevent injuries whenever possible. Here are some strategies that may be helpful:

  • Address sensory processing difficulties: Many autistic individuals struggle with sensory processing, which can make certain environments or activities overwhelming. By identifying and addressing these challenges, it may be possible to reduce the risk of injury.
  • Teach safety skills: Autistic individuals may benefit from explicit instruction on safety skills, such as looking both ways before crossing the street or wearing a helmet while riding a bike.
  • Consider adaptive equipment: Some autistic individuals may benefit from adaptive equipment, such as helmets, padding, or specialized shoes, to reduce the risk of injury during certain activities.
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Supervision for Autistic Individuals to Prevent Injuries

Supervision is crucial in preventing injuries among autistic individuals. Due to the challenges associated with ASD, many autistic individuals may require additional support and guidance to navigate their environment safely. Here are some reasons why supervision is essential:

Sensory Processing Difficulties

As mentioned earlier, sensory processing difficulties can make it challenging for autistic individuals to navigate their environment safely. However, with proper supervision, caregivers or family members can help identify potential triggers and provide appropriate accommodations to reduce the risk of injury.

Behavioral Challenges

Autistic individuals may engage in repetitive behaviors or exhibit impulsive tendencies that increase the risk of injury. With supervision, caregivers or family members can intervene when necessary and redirect behavior towards safer alternatives.

Communication Difficulties

Communication difficulties can also contribute to the higher risk of injuries among autistic individuals. By providing clear instructions and visual cues, supervisors can ensure that autistic individuals understand safety rules and expectations.

Co-occurring Conditions

Many autistic individuals have co-occurring conditions that increase the risk of injury, such as epilepsy or ADHD. With proper supervision, caregivers or family members can monitor symptoms and take appropriate action if necessary.

In conclusion, supervision is a critical component in preventing injuries among autistic individuals. By understanding the unique challenges associated with ASD and providing appropriate support and guidance, we can help mitigate the risks associated with navigating the world as an autistic individual.

Physical Therapy in Reducing the Risk of Injury Among Autistic Individuals

Physical therapy can play a crucial role in reducing the risk of injury among autistic individuals. Physical therapists are trained to identify and address motor planning challenges, balance issues, and other physical limitations that can increase the risk of injuries.

During a physical therapy session, an individual with ASD may work on exercises that improve coordination, balance, and flexibility. They may also learn strategies for navigating challenging environments safely, such as how to climb stairs or cross the street.

Physical therapists may also work with caregivers or family members to develop personalized safety plans for autistic individuals. These plans may include specific instructions for navigating certain environments or activities safely and recommendations for adaptive equipment that can reduce the risk of injury.

In addition to addressing physical limitations, physical therapy can also provide opportunities for social interaction and sensory integration. Many physical therapy settings offer group sessions where individuals with ASD can interact with peers while working on their physical goals.

Overall, physical therapy can be a valuable tool in reducing the risk of injury among autistic individuals. By addressing physical limitations and providing opportunities for social interaction and sensory integration, physical therapy can help autistic individuals navigate their environment safely and confidently.

Creating Safe Environments for Autistic Individuals

Creating safe environments is crucial in reducing the risk of injury among autistic individuals. Here are some strategies that can be helpful in creating a safe environment:

Sensory-Friendly Spaces

Many autistic individuals experience sensory processing difficulties that make certain environments overwhelming. Creating sensory-friendly spaces can help reduce anxiety and prevent accidents. For example, using soft lighting or noise-cancelling headphones can help create a more calming environment.

Clear Communication

Clear communication is essential in ensuring that autistic individuals understand safety rules and expectations. Caregivers and family members should use clear, concise language and visual cues to communicate important information effectively.

Removing Hazards

Removing hazards from the environment is another critical step in creating a safe space for autistic individuals. This may include securing loose wires or removing furniture with sharp edges.

Providing Adaptive Equipment

Providing adaptive equipment can also help reduce the risk of injury among autistic individuals. For example, wearing helmets or padding during physical activities like bike riding or trampoline jumping can provide additional protection.

By taking steps to create a safe environment, we can help reduce the risk of injury among autistic individuals and promote their overall health and well-being.

Technology for Promoting Safety

Technology can be a valuable tool in promoting safety and preventing injuries among autistic individuals. Here are some examples of how technology can be used:

Wearable Devices

Wearable devices, such as smartwatches or GPS trackers, can help caregivers or family members monitor the location and movements of autistic individuals. This technology can provide an added layer of security, especially when navigating unfamiliar environments.

Alert Systems

Alert systems can also be helpful in promoting safety. For example, a loud alarm or flashing light may signal to an autistic individual that they need to stop what they're doing or avoid a particular area.

Virtual Reality

Virtual reality technology has been used to teach safety skills in a controlled environment. For example, an individual with ASD may practice crossing the street safely in a virtual reality setting before attempting it in real life.

Apps and Games

There are numerous apps and games available that promote safety and teach important skills, such as recognizing dangerous situations or following safety rules. These tools can make learning fun and engaging for autistic individuals.

Overall, technology can be a powerful tool in promoting safety and preventing injuries among autistic individuals. By using wearable devices, alert systems, virtual reality, apps, and games, we can provide additional support and guidance to help autistic individuals navigate their environment safely.

FAQs

Is there a difference in injury rates between autistic males and females?

Some studies have found that males with ASD are more likely to experience injuries than females with ASD. However, more research is needed to better understand the potential gender differences in injury rates among autistic individuals.

Are there certain types of injuries that are more common among autistic individuals?

While there is no definitive answer, some studies suggest that head injuries and fractures may be more common among autistic individuals. These injuries may be related to motor planning difficulties or behavioral challenges like impulsivity.

Are there specific environments or activities that increase the risk of injury for autistic individuals?

Autistic individuals may be at higher risk of injury in certain environments or activities, such as swimming pools, playgrounds, or team sports. However, it's important to note that every individual is unique and may have different strengths and challenges.

Can medication help reduce the risk of injury for autistic individuals?

Some medications used to treat autism-related symptoms may have side effects that affect coordination or balance, increasing the risk of falls and other injuries.

However, medication can also help manage co-occurring conditions like epilepsy or ADHD that increase the risk of injury. It's essential to work closely with a healthcare provider when considering medication options.

How can caregivers or family members help prevent injuries among autistic individuals?

Caregivers and family members can play an essential role in preventing injuries by providing appropriate supervision, teaching safety skills, and identifying and addressing sensory processing difficulties. Additionally, they can consider using adaptive equipment like helmets or padding during certain activities.

Conclusion

While research on injury rates among autistic individuals is mixed, it's important to take steps to prevent injuries whenever possible. By addressing sensory processing difficulties, teaching safety skills, and considering adaptive equipment, it may be possible to reduce the risk of injury for autistic individuals.

References

https://www.spectrumnews.org/news/problems-attention-not-autism-predispose-children-injury/

https://pubmed.ncbi.nlm.nih.gov/24976351/

https://edition.cnn.com/2017/03/21/health/autism-injury-deaths-study/index.html

https://www1.racgp.org.au/newsgp/clinical/injuries-the-largest-cause-of-death-for-people-wit

https://neurosciencenews.com/asd-pain-22394/

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