Autism screening outcomes in a mental health crisis population: findings from a service evaluation

Summary

We evaluated proportions of autism screening outcomes among adults accessing crisis mental health services in Sussex, UK, and examined associations with quality of life and joint hypermobility as an indicator of physiological complexity. Fifty-five participants (mean age 35.7 years, 56% male, 85% White) completed autism and hypermobility screening questionnaires and the Mental Health Quality of Life Questionnaire. Forty-three participants (78%) scored above screening threshold for autism, although only eight had a prior diagnosis, and 27% scored above the published autistic median. Higher Ritvo Autism and Asperger Diagnostic Scale (RAADS-14) scores were associated with lower quality of life ( p < 0.001) and poorer well-being ( p < 0.01). Those screening positive for hypermobility also had higher RAADS-14 scores ( p = 0.01), suggesting a possible biological contribution to distress. Findings indicate high frequency of possible autism in crisis services and a need for tailored, biopsychosocially informed support.