Considerations for Expanding Research and Clinical Care for the Neurodivergent Gender Diverse Population

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

About the autistic author marker

Rosenau, K. A., Baroni, E., Keenan, E. G., & Massolo, M. L. (2023). Considerations for Expanding Research and Clinical Care for the Neurodivergent Gender Diverse Population. Cureus, 15(12), e51060-e51060. https://doi.org/10.7759/cureus.51060

Publication date: 25 Dec 2023 Added to AutiHub: 9 Aug 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
4
Publication authors identified as autistic
1 / 4 (25.0%)

Abstract

Little is currently known about the relationship between gender diversity and neurodiversity, although a growing body of researchers and clinicians are searching for more information to better serve this population. Gender-diverse individuals are three to six times more likely than cisgender individuals to identify as autistic or to report possible undiagnosed autism or autistic traits. Many gender-diverse individuals experience a shortage of gender-affirming medical care and are disproportionately impacted by barriers to mental health services. Similarly, autistic individuals report that the most common barrier to care is a lack of knowledgeable providers and/or resistance from providers to tailor care toward their specific needs. Two key areas in need of further research are 1) clinical approaches to gender-affirming medical and mental health care for neurodivergent patients and 2) the prevention and treatment of suicidality in gender-diverse neurodivergent individuals. Increasing collaborations amongst gender-diverse neurodivergent individuals, researchers, and clinicians are needed in order to further research and clinical practice to most directly and effectively improve physical and mental health care for the gender-diverse neurodivergent patient population.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 2 Oct 2026 13:58.

Cited references
19
With a DOI
17
Without a DOI, from raw bibliography text
2
5 / 19 (26.3%) cited references include at least one author identified as autistic.
References with data to complete
1 / 19 (5.3%)
References with detected author names
18 / 19 (94.7%)
Without detected author names
1
Without a structured title
0
Without a stable identifier
2
References with raw author names still to review
1
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
160
From DOI or external metadata
160
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
1
121 / 160 (75.6%) names are linked to an author already present in AutiHub. 39 / 160 (24.4%) names are not yet linked.
Names linked to a person identified as autistic
21 / 160 (13.1%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 21 / 121 (17.4%). Distinct people identified as autistic: 16 / 133 (12.0%).
  1. A. Suzanne Boyd (2014). Community-Based Participatory Research . Encyclopedia of Human Services and Diversity. SAGE Publications, Inc..
    OpenAlex
  2. Varun Warrier , David M. Greenberg , Elizabeth Weir , Clara Buckingham , P. Smith , Meng-Chuan Lai et al. (2020). Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals . Nature Communications, 11(1), 3959. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  3. David W. Evans , Kristin Canavera , F. Lee Kleinpeter. , Elise Maccubbin , Ken Taga (2005). The Fears, Phobias and Anxieties of Children with Autism Spectrum Disorders and Down Syndrome: Comparisons with Developmentally and Chronologically Age Matched Children . Child Psychiatry and Human Development, 36(1), 3-26. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  4. Lisa D. Hawke , Em Hayes , Karleigh Darnay , Joanna Henderson (2021). Mental health among transgender and gender diverse youth: An exploration of effects during the COVID-19 pandemic. Psychology of Sexual Orientation and Gender Diversity, 8(2), 180-187. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  5. Eric P. Hazen , Jennifer L. Stornelli , Julia A. O’Rourke , Karmen Koesterer , Christopher J. McDougle (2014). Sensory Symptoms in Autism Spectrum Disorders . Harvard Review of Psychiatry, 22(2), 112-124. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex OpenCitations
  6. Dawn Adams , Kate Young (2021). A Systematic Review of the Perceived Barriers and Facilitators to Accessing Psychological Treatment for Mental Health Problems in Individuals on the Autism Spectrum . Review Journal of Autism and Developmental Disorders, 8(4), 436-453. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  7. Augustus Klein , Sarit A. Golub (2016). Family Rejection as a Predictor of Suicide Attempts and Substance Misuse Among Transgender and Gender Nonconforming Adults . LGBT Health, 3(3), 193-199. SAGE Publications.
    Crossref OpenAlex OpenCitations
  8. Leena Nahata , Gwendolyn P. Quinn , Nicole M. Caltabellotta , Amy C. Tishelman (2017). Mental Health Concerns and Insurance Denials Among Transgender Adolescents . LGBT Health, 4(3), 188-193. SAGE Publications.
    Crossref OpenAlex OpenCitations
  9. Reubs J. Walsh , Lydia Krabbendam , Jeroen Dewinter , Sander Begeer (2018). Brief Report: Gender Identity Differences in Autistic Adults: Associations with Perceptual and Socio-cognitive Profiles . Journal of Autism and Developmental Disorders, 48(12), 4070-4078. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  10. L. O'Halloran , P. Coey , Colin Wilson (2022). Suicidality in autistic youth: A systematic review and meta-analysis . Clinical Psychology Review, 93, 102144. Elsevier BV.
    Crossref OpenAlex OpenCitations
  11. Brian C. Thoma , Rachel H. Salk , Sophia Choukas-Bradley , Tina R. Goldstein , Michele D. Levine , Michael P. Marshal (2019). Suicidality Disparities Between Transgender and Cisgender Adolescents . Pediatrics, 144(5). American Academy of Pediatrics (AAP).
    Crossref OpenAlex OpenCitations
  12. Barbara A. Israel , Amy J. Schulz , Chris M. Coombe , Edith A. Parker , Angela G. Reyes , Zachary Rowe et al. (2019). Community-Based Participatory Research . In Urban Health (pp. 272-282). Oxford University PressNew York.
    OpenAlex
  13. (2021). Start Here: A Guide for Parents of Autistic Kids .
    Type: Other
    Crossref
  14. Wallerstein N (2018). On community-based participatory research .
    Type: Other
    Crossref