Autism & Developmental

Brief Report: Initial Evidence of Depressive Symptom Disparities among Black and White Transition Age Autistic Youth.

Williams et al. (2022) · Journal of autism and developmental disorders 2022
★ The Verdict

Black autistic youth aged 16-26 carry a heavier depressive-symptom burden—screen and plan supports accordingly.

✓ Read this if BCBAs working with transition-age autistic youth in schools, clinics, or college support programs.
✗ Skip if Practitioners serving only non-autistic clients or children under 13.

01Research in Context

01

What this study did

Gilmore et al. (2022) compared depression scores of Black and White autistic youth. All participants were between 16 and 26 years old. The team used a standard mood checklist to see if race made a difference.

02

What they found

Black autistic youth reported more depressive symptoms than White peers. The gap was large enough to reach statistical significance. In short, race and autism together raised the depression risk.

03

How this fits with other research

Orsmond et al. (2025) extends this warning. They show senior-year depression predicts poor job, social, and living outcomes one year after graduation. G et al. tell us Black youth already start higher on that risk scale.

Adams et al. (2024) adds a social path. Autistic young adults who feel their social life falls short grow lonelier, then more depressed. G et al. do not measure social gaps, so the two studies slot together: race may shape both social opportunity and mood.

Howard et al. (2023) and Ferraiolo et al. (2026) point to sleep. Poor sleep raises depression in autistic young adults. None of these papers contradict G et al.; they simply widen the lens from race to daily habits.

04

Why it matters

If you serve transition-age autistic clients, add a brief race question to your intake. When the answer is Black, raise the depression screening priority and check social connectedness, sleep, and service access at the same time. Early action on any of these levers may keep later adult outcomes from sliding downhill.

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→ Action — try this Monday

Add a one-page mood checklist to your intake packet and flag Black autistic clients for quicker follow-up.

02At a glance

Intervention
not applicable
Design
quasi experimental
Population
autism spectrum disorder
Finding
negative
Magnitude
medium

03Original abstract

The lived experience of being autistic and being Black in America both put youth at higher risk for developing depressive symptoms. However, there is a dearth of research examining potential disparities in autistic youth with depression. The current study examined disparities in depressive symptoms among a sample of Black and White autistic youth between the ages of 16 and 26 years old. Using analysis of covariance this study found that the Black autistic youth had significantly higher depressive symptoms than White autistic youth (m = 7.3, sd = 4.4 vs. m = 3.8, sd = 3.6; t = 2.6, p = 0.013). This study presents initial evidence of a significant racial disparity between Black and White autistic youth depressive symptoms.

Journal of autism and developmental disorders, 2022 · doi:10.1146/annurev-orgpsych-032414-111322