Screening for Autism Spectrum Disorder in Young Children: US Preventive Services Task Force Recommendation Statement
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DESCRIPTION: New US Preventive Services Task Force (USPSTF) recommendation on screening for autism spectrum disorder (ASD) in young children. METHODS: The USPSTF reviewed the evidence on the accuracy, benefits, and potential harms of brief, formal screening instruments for ASD administered during routine primary care visits and the benefits and potential harms of early behavioral treatment for young children identified with ASD through screening. POPULATION: This recommendation applies to children aged 18 to 30 months who have not been diagnosed with ASD or developmental delay and for whom no concerns of ASD have been raised by parents, other caregivers, or health care professionals. RECOMMENDATION: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for ASD in young children for whom no concerns of ASD have been raised by their parents or a clinician. (I statement).
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Such screening instruments could be more useful for identifying possible signs and symptoms of ASD in high-risk populations, for example in young children with older siblings with ASD, or in those referred for speech or other developmental concerns to community paediatric services.
“In general, such instruments could be more useful for identifying possible signs and symptoms of ASD in high-risk populations, for example in young children with older siblings with ASD 150 , or in those referred for speech or other developmental concerns to community paediatric services 151”
From Autism spectrum disorder (2020) · cites this paper as [151]
Split into 2 atoms — 0 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 1 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredDespite AAP recommendations for universal and repeated screening, and despite evidence that timely services can improve long-term DB outcomes, the US Preventive Services Task Force currently rates the evidence for developmental screening as inconclusive, in large part because an unbroken line connecting screening to outcomes has not yet been demonstrated.
“Despite AAP recommendations for universal and repeated screening, and despite evidence that timely services can improve long-term DB outcomes, the US Preventive Services Task Force currently rates the evidence for developmental screening as inconclusive, in large part because an unbroken line connecting screening to outcomes has not yet been demonstrated.33,34”
From Early Childhood Care Coordination Through 211: A Randomized Clinical Trial (2024) · cites this paper as [33]
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- Authors
- Siu, A. L., and the US Preventive Services Task Force (USPSTF), Bibbins-Domingo, K., Grossman, D. C., Baumann, L. C., Davidson, K. W., Ebell, M., García, F. A. R., Gillman, M., Herzstein, J., Kemper, A. R., Krist, A. H., Kurth, A. E., Owens, D. K., Phillips, W. R., Phipps, M. G., & Pignone, M. P.
- Affiliations
- James J. Peters VA Medical Center (US)
- University of California, San Francisco (US)
- Kaiser Permanente Washington Health Research Institute (US)
- University of Wisconsin–Madison (US)
- University of Georgia (US)
- Harvard University (US)
- Duke University (US)
- Virginia Commonwealth University (US)
- VA Palo Alto Health Care System (US)
- University of Washington (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Siu, Albert L.
- ORCID
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2016-02-16
- Volume
- 315
- Issue
- 7
- Pages
- 691
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2273791272
- Cited by
- 261
- References
- 28
- Citations by year
- 2026: 13 · 2025: 6 · 2024: 24 · 2023: 17 · 2022: 32 · 2021: 43 · 2020: 35 · 2019: 28 · 2018: 32 · 2017: 16 · 2016: 15
- FWCI
- 19.33
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- autism spectrum disorder, autism screening, young children, USPSTF recommendations, primary care, screening accuracy, benefits and harms, developmental delay
- MeSH terms
- Autism Spectrum Disorder, Child, Preschool, Humans, Infant, United States, Advisory Committees, Early Diagnosis, Checklist
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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