Blog
Do Autistic People Get Injured More?

Do Autistic People Get Injured More?

Examines potential factors that may contribute to increased injury rates among autistic individuals, highlighting safety considerations.
April 28, 2025

Introduction

Autistic individuals experience the world differently, with unique sensory, cognitive, and motor challenges shaping their daily interactions. While autism itself is not a medical condition that directly causes injuries, the way autistic people process information, navigate environments, and respond to danger can significantly impact their injury risk. Understanding these risks is essential for fostering safer spaces at home, school, work, and in public. [1]

The Science Behind Injury Risks

Injuries in autistic individuals are often linked to sensory processing differences, coordination challenges, and difficulty assessing risk. While some may have heightened awareness of physical threats, others may struggle to perceive danger or react appropriately to sudden changes in their surroundings.

Statistical Insights on Injuries in Autism

Research suggests that autistic individuals experience a higher rate of injuries compared to the general population. Studies indicate that they are more likely to suffer from falls, accidental poisoning, and head injuries, often due to difficulties with balance, impulsivity, and an altered sense of danger.

Sensory Processing Challenges and Injury Risks

Many autistic individuals experience sensory processing differences, which can contribute to injury risks in unexpected ways. Hyposensitivity may lead to a reduced awareness of pain, causing delayed reactions to injuries, while hypersensitivity can cause distress in overstimulating environments, increasing the risk of accidents.

Motor Skill Development and Coordination Issues

Motor skill development varies among autistic individuals, with some experiencing dyspraxia, or difficulty in coordinating movements. Impaired proprioception, the body’s ability to sense its position in space, can lead to frequent stumbles, falls, and an increased risk of physical injury.

Communication Barriers and Injury Response

For those who experience challenges with verbal communication, reporting injuries can be difficult. An autistic individual may not immediately indicate pain, which can delay necessary medical treatment. Caregivers and medical professionals must remain attentive to nonverbal cues. [2]

Impulsivity and Risk-Taking Behavior

Executive functioning challenges often lead to impulsive actions without assessing potential consequences. Some autistic individuals engage in repetitive behaviors, which, depending on the activity, can result in unintentional self-injury.

Environmental Factors and Safety Challenges

Autistic individuals may be particularly vulnerable to environmental hazards, from overstimulating public spaces to household dangers. Cluttered or unpredictable environments can contribute to sensory overload, increasing the likelihood of accidents.

Drowning and Water Safety Risks

Drowning is a leading cause of accidental death in autistic individuals. Many autistic children are drawn to water but may lack an understanding of water safety. Teaching essential swimming skills and using appropriate safety barriers is critical.

Traffic and Road Safety Concerns

Navigating roads can be particularly challenging due to spatial awareness issues and difficulty interpreting traffic signals. Structured safety training, visual guides, and clear routines can help increase road awareness. [3]

Burns, Cuts, and Self-Injury Risks

Some sensory-seeking behaviors, such as touching hot objects or engaging in repetitive hand-flapping near sharp surfaces, can lead to injuries. Understanding these behaviors and redirecting them to safer alternatives is essential.

Medical and Emergency Response Challenges

Autistic individuals may struggle with medical procedures, making emergency care more complex. First responders trained in autism-friendly approaches can help reduce stress and improve medical outcomes.

Autism and Workplace Injuries

Autistic adults in workplaces may face safety risks due to difficulty processing rapid environmental changes. Employers can create safer spaces by providing clear instructions and structured workstations.

Sports and Physical Activity Considerations

Engaging in sports offers numerous benefits but also comes with risks. Modified training, protective gear, and individualized coaching can enhance safety in physical activities. [1]

Strategies to Reduce Injury Risks

Structured environments, visual schedules, and predictable routines can help autistic individuals navigate their surroundings safely. Teaching safety skills through social stories can reinforce awareness.

Parental and Caregiver Strategies for Injury Prevention

Supervision should balance safety with independence. Parents can use tools like childproofing measures, wearable safety devices, and personalized safety plans to protect their children.

The Role of Schools in Injury Prevention

Schools play a crucial role in teaching safety awareness. Adapted playgrounds, sensory-friendly classrooms, and staff trained in autism safety can make a significant difference.

Technology and Safety Solutions

Wearable GPS devices can prevent wandering-related injuries, while communication apps can help autistic individuals express pain and discomfort in emergencies.

Community Awareness and Advocacy

Public education is key to reducing injury risks. Businesses, schools, and medical facilities can implement autism-friendly policies to foster a safer environment for all.

Conclusion

While autistic individuals may face a higher risk of injury, increased awareness and proactive safety measures can significantly reduce harm. Families, educators, and communities must work together to create inclusive environments where autistic individuals can thrive without unnecessary dangers.

References:

[1]: https://www.crossrivertherapy.com/autism/injuries

[2]: https://www.totalcareaba.com/autism/autism-and-injuries

[3]: https://pubmed.ncbi.nlm.nih.gov/24976351/