Autism & Developmental

Does learning you are autistic at a younger age lead to better adult outcomes? A participatory exploration of the perspectives of autistic university students.

Oredipe et al. (2023) · Autism : the international journal of research and practice 2023
★ The Verdict

Tell autistic children their diagnosis early—autistic adults who learned younger report happier lives now.

✓ Read this if BCBAs working with autistic children in clinic or school settings
✗ Skip if Practitioners serving only adult clients with no family contact

01Research in Context

01

What this study did

Oredipe et al. (2023) asked 117 autistic university students one simple question. When did you first learn you were autistic?

They then linked each student's answer to how satisfied they felt with life today. The survey took ten minutes online.

02

What they found

Students who learned their diagnosis before age 10 scored much higher on life satisfaction today.

Those told after 18 scored the lowest. The gap stayed large even when the researchers controlled for income and support level.

03

How this fits with other research

Cribb et al. (2019) found the same group of autistic university students felt more in control of their lives. Their interviews show knowing your identity early helps you plan and advocate.

Leng et al. (2024) explains why some children learn late. Migrant families and kids without intellectual disability often miss early screening. This backdrop shows the 2023 finding is not just about age—it is about who gets left out.

Green et al. (2020) seems to clash. They found autistic young adults often lack self-determination. But the two studies measured different things. C et al. looked at daily choice-making skills. Tomisin asked about overall happiness. Early disclosure may not fix every skill gap, yet it still lifts mood.

04

Why it matters

If you work with autistic children, tell them their diagnosis in clear, age-appropriate words as soon as you can. Use picture books for little kids and honest talks for teens. Parents often fear the label will hurt. This study shows silence hurts more.

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02At a glance

Intervention
not applicable
Design
survey
Sample size
78
Population
autism spectrum disorder
Finding
positive

03Original abstract

People learn they are autistic at different ages. We wanted to know if telling kids they are autistic earlier helps them feel better about their lives when they grow up. We are a team of autistic and non-autistic students and professors. Seventy-eight autistic university students did our online survey. They shared how they found out they were autistic and how they felt about being autistic. They also shared how they feel about their lives now. Around the same number of students learned they were autistic from doctors and parents. Students who learned they were autistic when they were younger felt happier about their lives than people who learned they were autistic when they were older. Students who learned they were autistic when they were older felt happier about being autistic when they first found out than people who did not have to wait as long. Our study shows that it is probably best to tell people they are autistic as soon as possible. The students who did our study did not think it was a good idea to wait until children are adults to tell them they are autistic. They said that parents should tell their children they are autistic in ways that help them understand and feel good about who they are.

Autism : the international journal of research and practice, 2023 · doi:10.1177/13623613221086700