Do People With Autism Get Injured More?

Autism Spectrum Disorder (ASD) is a developmental condition characterized by challenges in social communication, repetitive behaviors, and restricted interests.

Individuals with ASD may also have unique strengths and abilities, such as heightened sensory perception or exceptional memory. However, they may also face increased risks when it comes to experiencing injuries.

In this article, we will explore the connection between autism and injuries, as well as preventative measures and strategies to ensure the safety of individuals with ASD.

Increased Risk of Injuries in Individuals with Autism

Research has shown that individuals with ASD are more likely to experience injuries than their neurotypical peers. There are several factors that contribute to this increased risk:

1. Sensory Processing Difficulties

Sensory processing challenges are common in individuals with autism. They may experience sensory overload, hypersensitivity, or hyposensitivity to various stimuli such as sounds, textures, or tastes. These sensory processing difficulties can lead to an increased risk of injury, as individuals with autism might not perceive or react to hazards in their environment as quickly as others.

2. Impaired Communication Skills

Individuals with autism may struggle with verbal and nonverbal communication, which can hinder their ability to express their needs or understand instructions. This can be particularly problematic in emergency situations, where timely and accurate communication is crucial for preventing injuries.

3. Limited Understanding of Social Cues

People with ASD often have difficulty interpreting social cues and understanding the intentions of others. This may result in misjudging potentially dangerous situations, such as approaching a stranger or interacting with an aggressive animal.

4. Repetitive Behaviors and Restricted Interests

Repetitive behaviors and restricted interests can also contribute to an increased risk of injury. For example, a child with autism might repeatedly climb on furniture or engage in other potentially dangerous activities. Additionally, restricted interests may lead to a lack of awareness of their surroundings and potential hazards.

Strategies for Preventing Injuries in Individuals with Autism

Given the increased risk of injuries in individuals with ASD, it is essential to implement strategies to minimize these risks. Here are some suggestions for preventing injuries:

1. Create a Safe Environment

One of the most effective ways to prevent injuries is to create a safe and structured environment. This can include:

  • Removing or securing potential hazards, such as sharp objects or unstable furniture.
  • Using visual cues and labels to indicate safe and unsafe areas or objects.
  • Incorporating sensory-friendly materials and spaces to help prevent sensory overload.

2. Teach Safety Skills

Teaching safety skills and rules is crucial for individuals with ASD. Some important skills to teach include:

  • Recognizing and avoiding dangerous situations and objects.
  • Understanding and following safety rules at home, school, and in public places.
  • Developing communication skills to express needs and ask for help when needed.

3. Use Social Stories and Visual Supports

Social stories and visual supports can be effective tools for teaching safety skills and rules to individuals with autism. Social stories are short, personalized narratives that help individuals with ASD understand social situations and expectations. Visual supports, such as social stories, can be particularly helpful for individuals with ASD who struggle with verbal communication.

4. Encourage Physical Activity and Motor Skills Development

Promoting physical activity and motor skills development can help reduce the risk of injuries in individuals with autism. Engaging in regular exercise and participating in activities that develop coordination, balance, and strength can improve overall physical health and safety.

5. Collaborate with Professionals

Working with healthcare professionals, therapists, and educators can help identify specific risks and develop tailored strategies to prevent injuries in individuals with ASD. Regular communication and collaboration with these professionals can ensure that safety precautions and interventions are effective and up-to-date.

Common Types of Injuries in Individuals with ASD

While individuals with autism may be at risk for various injuries, there are certain types that occur more frequently. Understanding these common injuries can help caregivers and professionals create targeted prevention strategies.

1. Falls

Falls are a common cause of injury among individuals with ASD due to motor skill challenges, sensory processing difficulties, or repetitive behaviors. Ensuring a clutter-free environment and providing support during physical activities can help reduce the risk of falls.

2. Burns and Scalds

Individuals with autism might not perceive temperature differences as effectively as others, leading to an increased risk of burns or scalds. Teaching safety skills around hot objects and using visual cues to indicate temperature hazards can help prevent such injuries.

3. Drowning

Drowning is a significant concern for individuals with ASD, particularly those who may be drawn to water or have limited understanding of its dangers. Implementing safety measures such as fences around pools and teaching water safety skills are crucial precautions.

4. Ingestion of Foreign Objects

Sensory-seeking behaviors can lead some individuals with autism to chew on or ingest non-food items, potentially causing choking or internal injuries. Providing safe alternatives for sensory input and monitoring their environment for potential hazards can mitigate these risks.

5. Self-Injurious Behaviors

Some individuals with ASD engage in self-injurious behaviors, such as head banging or skin picking, which can result in physical harm. Collaborating with healthcare professionals to address underlying causes and develop coping strategies is essential for reducing self-injury risks.

The Impact of Sensory Processing Difficulties on Injury Risk in Individuals with ASD

Sensory processing difficulties can significantly contribute to the increased risk of injuries in individuals with ASD. These challenges can manifest in various ways, such as hypersensitivity (over-responsiveness) or hyposensitivity (under-responsiveness) to stimuli, which may compromise their safety and well-being.


Individuals with ASD who experience hypersensitivity may find certain sensations overwhelming or distressing, causing them to react impulsively or attempt to escape the situation. This reaction might lead to accidents or injuries, such as running into traffic or knocking over objects. Furthermore, heightened sensitivity to pain can exacerbate the impact of minor injuries and cause additional distress.


On the other hand, individuals with hyposensitivity may not adequately perceive potentially harmful stimuli. Their reduced sensitivity towards pain, temperature, or touch might cause them to underestimate risks and engage in dangerous activities. For example, they may not notice a hot surface until it causes a severe burn or fail to recognize an injury until it worsens significantly.

Sensory Seeking Behaviors

Some individuals with ASD exhibit sensory-seeking behaviors as a coping mechanism for sensory processing difficulties.

These behaviors might include spinning, rocking, or mouthing objects. While providing temporary relief from sensory discomforts, these actions can also increase the likelihood of injuries if they involve dangerous objects or situations.

To address these challenges and minimize injury risks associated with sensory processing difficulties, caregivers and professionals should develop personalized strategies tailored to each individual’s unique needs.

This approach could involve creating sensory-friendly environments that reduce overwhelming stimuli while ensuring safety precautions are in place for potential hazards. Additionally, introducing safe alternatives for sensory input can help alleviate the need for risky sensory-seeking behaviors.

Impaired Communication Skills and Injury Risk

Impaired communication skills in individuals with ASD can contribute to an increased risk of injuries in various ways. The inability to effectively convey or interpret information may result in misunderstandings, delayed response times, and inadequate precautions.

Miscommunication of Pain or Discomfort

Individuals with autism might struggle to communicate their pain or discomfort accurately. This difficulty can lead to delayed treatment for injuries or exacerbate existing conditions due to a lack of timely intervention.

Inability to Seek Help

A limited ability to express their needs or ask for assistance can leave individuals with ASD vulnerable during emergencies. Without the necessary support or guidance, they may be more susceptible to accidents and injuries.

Difficulty Understanding Instructions

People with ASD might find it challenging to comprehend verbal instructions, which can hinder their ability to follow safety guidelines. This misunderstanding may result in unintentional risky behaviors that increase the likelihood of injury.

To mitigate these risks associated with impaired communication skills, caregivers and professionals should adopt alternative methods of communication tailored to each individual’s needs. These strategies might include visual aids, gestures, social stories, or augmentative and alternative communication (AAC) devices. By addressing these challenges proactively, we can improve overall safety and well-being for individuals with autism.

Frequently Asked Questions about the Link between Injuries and Autism

1. Are all individuals with autism at an equal risk for injuries?

No, the risk of injury varies among individuals with autism based on factors such as age, severity of symptoms, communication abilities, and sensory processing challenges. It is important to assess each person’s unique needs and potential risks to develop personalized prevention strategies.

2. Can early intervention programs help reduce the risk of injuries in children with ASD?

Yes, early intervention programs that focus on developing communication skills, motor skills, safety awareness, and social understanding can significantly reduce the risk of injuries in children with ASD.

3. How can parents or caregivers monitor their child’s environment for potential hazards?

Parents and caregivers should be vigilant in identifying potential dangers in their child’s surroundings by regularly inspecting spaces for sharp objects, unstable furniture, or other hazards. They should also observe their child’s behaviors to identify any patterns that could lead to injury.

4. What role do schools play in preventing injuries for students with ASD?

Schools must provide a safe learning environment for all students, including those with ASD. This includes implementing safety measures such as proper supervision during activities and recess, adapting physical education classes to accommodate individual needs, and providing training for staff on autism-specific safety concerns.

5. How can technology be used to improve safety for individuals with autism?

Technology can play a significant role in enhancing safety for individuals with ASD by providing tools like GPS tracking devices or wearable sensors that monitor vital signs and alert caregivers when there is a potential emergency. Additionally, apps designed specifically for teaching safety skills can be helpful resources.

6. Is it possible to eliminate all risks of injury for individuals with ASD?

While it may not be possible to eliminate every risk completely, proactive measures such as creating a safe environment, teaching essential safety skills, collaborating with professionals, and monitoring potential hazards can significantly reduce the likelihood of injuries for individuals with ASD.


The connection between autism and injuries is complex and multifaceted. By understanding the factors that contribute to the increased risk of injuries in individuals with ASD, we can implement preventative measures and strategies to ensure their safety.

By creating a safe environment, teaching safety skills, using social stories and visual supports, encouraging physical activity, and collaborating with professionals, we can help minimize the risks and improve the well-being of individuals with autism.

Leave a Reply

Your email address will not be published. Required fields are marked *