American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5). American Psychiatric Pub; 2013.

Zeidan J, Fombonne E, Scorah J, Ibrahim A, Durkin MS, Saxena S, et al. Global prevalence of autism: a systematic review update. Autism Res. 2022;15(5):778–90.

Article  PubMed  PubMed Central  Google Scholar 

Russell G, Stapley S, Newlove-Delgado T, Salmon A, White R, Warren F, et al. Time trends in autism diagnosis over 20 years: a UK population-based cohort study. J Child Psychol Psychiatry. 2022;63(6):674–82.

Article  PubMed  Google Scholar 

Maenner MJ, Warren Z, Williams AR, Amoakohene E, Bakian AV, Bilder DA, et al. Prevalence and characteristics of autism spectrum disorder among children aged 8 years: autism and developmental disabilities monitoring network, 11 sites, United States, 2020. MMWR Surveill Summ. 2023;72(2):1–14.

Article  PubMed  PubMed Central  Google Scholar 

Warrier V, Greenberg DM, Weir E, Buckingham C, Smith P, Lai MC, et al. Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals. Nat Commun. 2020. https://doi.org/10.1038/s41467-020-17794-1.

Article  PubMed  PubMed Central  Google Scholar 

World Health Organisation. Gender and health. https://www.who.int/health-topics/gender#tab=tab_1. Accessed 20 Jan 2023.

Strang JF, Kenworthy L, Dominska A, Sokoloff J, Kenealy LE, Berl M, et al. Increased gender variance in autism spectrum disorders and attention deficit hyperactivity disorder. Arch Sex Behav. 2014;43(8):1525–33.

Article  PubMed  Google Scholar 

Janssen A, Huang H, Duncan C. Gender variance among youth with autism spectrum disorders: a retrospective chart review. Transgend Health. 2016;1(1):63–8.

Article  PubMed  PubMed Central  Google Scholar 

Warrier V, Greenberg DM, Weir E, et al. Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals. Nat Commun. 2020;11(1):3959.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Kallitsounaki A, Williams DM. Implicit and explicit gender-related cognition, gender dysphoria, autistic-like traits, and mentalizing: differences between autistic and non-autistic cisgender and transgender adults. Arch Sex Behav. 2022;51(7):3583–600.

Article  PubMed  PubMed Central  Google Scholar 

Cooper K, Mandy W, Russell A, Butler C. Healthcare clinician perspectives on the intersection of autism and gender dysphoria. Autism. 2023;27(1):31–42.

Article  PubMed  Google Scholar 

George R, Stokes MA. Gender identity and sexual orientation in autism spectrum disorder. Autism. 2018;22(8):970–82.

Article  PubMed  Google Scholar 

Croen LA, Zerbo O, Qian Y, Massolo ML, Rich S, Sidney S, Kripke C. The health status of adults on the autism spectrum. Autism. 2015;19(7):814–23.

Article  PubMed  Google Scholar 

Dhanasekara CS, Ancona D, Cortes L, Hu A, Rimu AH, Robohm-Leavitt C, et al. Association between autism spectrum disorders and cardiometabolic diseases: a systematic review and meta-analysis. JAMA Pediatr. 2023;177(3):248–57.

Article  PubMed  PubMed Central  Google Scholar 

Hand BN, Angell AM, Harris L, Carpenter LA. Prevalence of physical and mental health conditions in medicare-enrolled, autistic older adults. Autism. 2020;24(3):755–64.

Article  PubMed  Google Scholar 

Liu S, Larsson H, Kuja-Halkola R, Lichtenstein P, Butwicka A, Taylor MJ. Age-related physical health of older autistic adults in Sweden: a longitudinal, retrospective, population-based cohort study. Lancet Healthy Longev. 2023;4(7):e307–15.

Article  PubMed  Google Scholar 

Martini MI, Kuja-Halkola R, Butwicka A, Du Rietz E, D’Onofrio BM, Happé F, et al. Sex differences in mental health problems and psychiatric hospitalization in autistic young adults. JAMA Psychiat. 2022;79(12):1188–98.

Article  Google Scholar 

Weir E, Allison C, Warrier V, Baron-Cohen S. Increased prevalence of non-communicable physical health conditions among autistic adults. Autism. 2021;25(3):681–94.

Article  PubMed  Google Scholar 

Weir E, Allison C, Baron-Cohen S. Autistic adults have poorer quality healthcare and worse health based on self-report data. Mol Autism. 2022. https://doi.org/10.1186/s13229-022-00501-w.

Article  PubMed  PubMed Central  Google Scholar 

Ward JH, Weir E, Allison C, Baron-Cohen S. Increased rates of chronic physical health conditions across all organ systems in autistic adolescents and adults. Mol Autism. 2023. https://doi.org/10.1186/s13229-023-00565-2.

Article  PubMed  PubMed Central  Google Scholar 

Bishop-Fitzpatrick L, Rubenstein E. The physical and mental health of middle aged and older adults on the autism spectrum and the impact of intellectual disability. Res Autism Spectr Disord. 2019;63:34–41.

Article  PubMed  PubMed Central  Google Scholar 

Fortuna RJ, Robinson L, Smith TH, Meccarello J, Bullen B, Nobis K, et al. Health conditions and functional status in adults with autism: a cross-sectional evaluation. J Gen Intern Med. 2016;31(1):77–84.

Article  PubMed  Google Scholar 

Kassee C, Babinski S, Tint A, Lunsky Y, Brown HK, Ameis SH, et al. Physical health of autistic girls and women: a scoping review. Mol Autism. 2020;11(1):84.

Article  PubMed  PubMed Central  Google Scholar 

Vohra R, Madhavan S, Sambamoorthi U. Comorbidity prevalence, healthcare utilization, and expenditures of medicaid enrolled adults with autism spectrum disorders. Autism. 2017;21(8):995–1009.

Article  PubMed  Google Scholar 

Lai MC, Kassee C, Besney R, Bonato S, Hull L, Mandy W, et al. Prevalence of co-occurring mental health diagnoses in the autism population: a systematic review and meta-analysis. Lancet Psychiatry. 2019;6(10):819–29.

Article  PubMed  Google Scholar 

O’Nions E, Lewer D, Petersen I, Brown J, Buckman JEJ, Charlton R, et al. Estimating life expectancy and years of life lost for autistic people in the UK: a matched cohort study. Lancet Reg Health Eur. 2024;36:100776.

Article  PubMed  Google Scholar 

Lai MC, Saunders NR, Huang A, Artani A, Wilton AS, Zaheer J, et al. Self-harm events and suicide deaths among autistic individuals in Ontario, Canada. JAMA Netw Open. 2023;6(8):e2327415.

Article  PubMed  PubMed Central  Google Scholar 

Newell V, Phillips L, Jones C, Townsend E, Richards C, Cassidy S. A systematic review and meta-analysis of suicidality in autistic and possibly autistic people without co-occurring intellectual disability. Mol Autism. 2023. https://doi.org/10.1186/s13229-023-00544-7.

Article  PubMed  PubMed Central  Google Scholar 

Downing JM, Przedworski JM. Health of transgender adults in the U.S., 2014–2016. Am J Prev Med. 2018;55(3):336–44.

Article  PubMed  Google Scholar 

Hanna B, Desai R, Parekh T, Guirguis E, Kumar G, Sachdeva R. Psychiatric disorders in the U.S. transgender population. Ann Epidemiol. 2019;39:1–7.

Article  PubMed  Google Scholar 

Newcomb ME, Hill R, Buehler K, Ryan DT, Whitton SW, Mustanski B. High burden of mental health problems, substance use, violence, and related psychosocial factors in transgender, non-binary, and gender-diverse youth and young adults. Arch Sex Behav. 2020;49(2):645–59.

Article  PubMed  Google Scholar 

Saunders CL, Berner A, Lund J, Mason AM, Oakes-Monger T, Roberts M, et al. Demographic characteristics, long-term health conditions and healthcare experiences of 6333 trans and non-binary adults in England: nationally representative evidence from the 2021 GP patient survey. BMJ Open. 2023;13(2):e068099.

Article  PubMed  Google Scholar 

Jackson SS, Brown J, Pfeiffer RM, Shrewsbury D, O’Callaghan S, Berner AM, et al. Analysis of mortality among transgender and gender diverse adults in England. JAMA Netw Open. 2023;6(1):e2253687.

Article  PubMed  PubMed Central  Google Scholar 

Virupaksha HG, Muralidhar D, Ramakrishna J. Suicide and suicidal behavior among transgender persons. Indian J Psychol Med. 2016;38(6):505–9.