Assessment & Research

A screening questionnaire for Asperger syndrome and other high-functioning autism spectrum disorders in school age children.

Ehlers et al. (1999) · Journal of autism and developmental disorders 1999
★ The Verdict

The 27-item ASSQ is a fast, reliable way to flag high-functioning ASD in school kids when both parents and teachers complete it.

✓ Read this if BCBAs who screen for ASD in elementary schools or clinics.
✗ Skip if Clinicians working only with severe, non-verbal ASD or adults.

01Research in Context

01

What this study did

Kahng et al. (1999) built a 27-item checklist called the ASSQ.

Parents and teachers each circle how true each item is for a child.

The team tested it on kids who already had, or might have, high-functioning ASD.

02

What they found

The ASSQ scores lined up with later clinical diagnoses.

Both parents and teachers had to fill it out; one alone missed too much.

The tool took only a few minutes and needed no special kit.

03

How this fits with other research

Posserud et al. (2009) ran the same checklist on a whole town of 7- to 9-year-olds.

They found the same cut-off works in regular schools, not just clinics.

Kopp et al. (2011) added girl-typical items like "avoids demands" because the original ASSQ often missed females.

Mattila et al. (2012) later showed Finnish kids need a slightly higher cut-off, so culture can shift the numbers.

04

Why it matters

If you screen in schools, use both parent and teacher forms and mark 17 or higher.

For girls, watch items added by the ASSQ-REV; the plain ASSQ may under-count them.

Swap in local cut-offs if you work with non-English families.

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→ Action — try this Monday

Send the ASSQ home and to the teacher today; score only if both return it.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
positive

03Original abstract

The high-functioning Autism Spectrum Screening Questionnaire (ASSQ) is a 27-item checklist for completion by lay informants when assessing symptoms characteristic of Asperger syndrome and other high-functioning autism spectrum disorders in children and adolescents with normal intelligence or mild mental retardation. Data for parent and teacher ratings in a clinical sample are presented along with various measures of reliability and validity. Optimal cutoff scores were estimated, using Receiver Operating Characteristic analysis. Findings indicate that the ASSQ is a useful brief screening device for the identification of autism spectrum disorders in clinical settings.

Journal of autism and developmental disorders, 1999 · doi:10.1023/a:1023040610384