OTSLPCohortChild: care, health and development2025

Exclusion and Truancy of Autistic Adolescents in a UK Population Representative Sample.

Vasiliki Totsika, Kylie M Gray, Francesca Solmi

PMID 41268717

WHAT IT FOUND

In this UK sample, 25% of autistic 14-year-olds had been excluded from school and 15% reported truanting.

Higher externalising behaviour scores were strongly linked to both exclusion and truancy, while other factors showed weaker or unexpected associations.

Key findings

01Parent-reported exclusion affected 25% of the weighted sample of autistic adolescents.

02Adolescent-reported truancy affected 15% of the weighted sample.

03Higher externalising problem scores were strongly associated with increased odds of both exclusion and truancy in adjusted models.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs

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What it does not show

The study is cross-sectional, so it cannot determine if school support caused exclusion or if support was provided after exclusion occurred. Exclusion and truancy were measured by parent and self-report, which may differ from official school records. The multivariable analysis relied on a smaller subset of 274 participants with complete data, reducing statistical power for some factors. The measure of school support counted the presence of services but did not assess the quality or appropriateness of those services.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not interpret the association between higher school support and higher exclusion odds as evidence that support causes exclusion. The cross-sectional design means support may have been introduced in response to prior exclusion or emerging attendance difficulties.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →