Assessment & Research

Predicting autism traits from baby wellness records: A machine learning approach.

Ben-Sasson et al. (2024) · Autism : the international journal of research and practice 2024
★ The Verdict

Standard 0-24-month wellness data can flag about two-thirds of later autism cases with simple machine-learning rules.

✓ Read this if BCBAs working in pediatric clinics, early-intervention intake, or multidisciplinary assessment teams.
✗ Skip if Clinicians who already use the newer a large share accuracy ensemble screeners or serve only school-age clients.

01Research in Context

01

What this study did

The team trained computer models to spot autism from regular baby-checkup files.

They used growth charts, vaccine dates, and nurse notes for 0-24-month visits.

Separate boy and girl models were built and tested on 1,400 later-diagnosed kids plus matched controls.

02

What they found

The best model caught 63-a large share of children who later received an autism diagnosis.

It also kept false alarms low, so most flagged babies truly needed follow-up.

Girls were slightly harder to catch, so the girl-only model helped close that gap.

03

How this fits with other research

Marsack-Topolewski et al. (2025) now report 97-a large share accuracy with a four-model ensemble, far above the 63-a large share seen here.

That newer tool covers toddlers to adults, so it replaces this baby-only approach for sheer hit rate.

Yet this paper stays useful: it proves the cheap data you already collect at well-baby visits hold signal, while N et al. need extra parent questions.

Smit et al. (2019) tried parent temperament surveys and could not predict individual risk; the present ML method turns the same age window into real, if modest, prediction.

04

Why it matters

You do not need new tests—just mine the charts you already file.

Flagging two out of three future cases before 24 months gives you a head start on referral, early intervention, and parent coaching.

Try running the free code on your clinic’s wellness database; even a large share sensitivity beats waiting until red flags pile up.

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Export last year’s well-baby visit data, run the open-source model, and call families of the top-risk infants for a free screening slot.

02At a glance

Intervention
not applicable
Design
other
Sample size
604835
Population
autism spectrum disorder, neurotypical
Finding
positive
Magnitude
medium

03Original abstract

Timely identification of autism spectrum conditions is a necessity to enable children to receive the most benefit from early interventions. Emerging technological advancements provide avenues for detecting subtle, early indicators of autism from routinely collected health information. This study tested a model that provides a likelihood score for autism diagnosis from baby wellness visit records collected during the first 2 years of life. It included records of 591,989 non-autistic children and 12,846 children with autism. The model identified two-thirds of the autism spectrum condition group (boys 63% and girls 66%). Sex-specific models had several predictive features in common. These included language development, fine motor skills, and social milestones from visits at 12-24 months, mother's age, and lower initial growth but higher last growth measurements. Parental concerns about development or hearing impairment were other predictors. The models differed in other growth measurements and birth parameters. These models can support the detection of early signs of autism in girls and boys by using information routinely recorded during the first 2 years of life.

Autism : the international journal of research and practice, 2024 · doi:10.1177/13623613241253311