Autistic Women Face Greater Mental Health Risks Than Men

Author: Karolinska Institutet
Published: 2022/10/26 - Updated: 2025/07/20
Publication Details: Peer-Reviewed, Research, Study, Analysis
Category Topic: Autism Information - Academic Publications

Page Content: Synopsis - Introduction - Main - Insights, Updates

Synopsis: This research represents a significant peer-reviewed study from Karolinska Institutet that tracked over 1.3 million people in Sweden between 2001 and 2013, making it one of the largest investigations into mental health disparities among autistic individuals. The findings reveal that autistic women face substantially higher risks of mental illness than autistic men, with 77% of autistic women receiving psychiatric diagnoses by age 25 compared to 62% of autistic men. The study's authority stems from its massive sample size, longitudinal design, and publication in JAMA Psychiatry, one of the most respected psychiatric journals. These findings are particularly valuable for healthcare providers, disability advocates, and families as they highlight the critical need for gender-sensitive approaches to autism care and mental health screening, especially during the vulnerable transition to adulthood when access to care often diminishes - Disabled World (DW).

Introduction

Autistic young men and women are more affected by psychiatric conditions and have an increased risk of being hospitalized due to their mental illness compared with non-autistic people. Autistic women are particularly vulnerable. This is shown by researchers from Karolinska Institutet in a study published in JAMA Psychiatry.

Main Content

Autistic people have an increased risk of suffering from mental illness. Current data indicates that autistic women are more vulnerable than autistic men, but few studies have been able to establish that there are sex differences.

Researchers from Karolinska Institutet have now conducted a register-based cohort study with more than 1.3 million people in Sweden who were followed from the age of 16 to 24 between 2001 and 2013. Just over 20,000 of these individuals were diagnosed with autism.

The researchers found that by age 25, 77 out of 100 autistic women, compared with 62 out of 100 autistic men, had received at least one psychiatric diagnosis.

"We saw an increased risk of eleven different psychiatric conditions, including depression, anxiety disorders, self-harm and difficulty sleeping," says Miriam Martini, a doctoral student in psychiatric epidemiology at the Department of Medical Epidemiology and Biostatistics at Karolinska Institutet and first author of the study.

Something that Miriam Martini finds particularly worrying is that 32 out of 100 autistic women had been hospitalized as a result of their mental illness, compared with 19 out of 100 autistic men. For non-autistic people, the corresponding figure was less than five out of 100.

The study focuses on young adults who are at a crucial time in their life when many mental health problems increase, while the transition to adulthood often means poorer access to care, says Miriam Martini.

"Healthcare for young adults needs to be expanded, especially for autistic women, so that mental illness can be detected in time to avoid worsening of symptoms resulting in hospitalization," says Miriam Martini.

The reason why autistic women are more affected by mental illness than autistic men is not clear, but in the study, the researchers point to several possible factors. Previous research has shown that autistic women to a greater extent use compensatory behaviours to camouflage their autism, which may be due to the fact that women generally tend to adapt to the expectations of those around them. This delays diagnosis and the provision of assistance, which can negatively affect their mental health.

Another possible explanation may be that it could be difficult to detect autism in women using diagnostic criteria.

"It may be that autism manifests differently in women than in men, which means that women are not detected using today's diagnostic criteria. This is something we need to do more research on," says Miriam Martini.

The study was funded by MQ Mental Health Research. Some of the study authors have received compensation from industrial companies outside the scope of the current study.

Insights, Analysis, and Developments

Attribution/Source(s): This peer reviewed publication was selected for publishing by the editors of Disabled World (DW) due to its relevance to the disability community. Originally authored by Karolinska Institutet and published on 2022/10/26, this content may have been edited for style, clarity, or brevity.