An Australian Cross-Sectional Survey of Parents’ Experiences of Emergency Department Visits Among Children with Autism Spectrum Disorder

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

Garrick, A., Lee, M. L., Scarffe, C., Attwood, T., Furley, K., Bellgrove, M. A., & Johnson, B. P. (2021). An Australian Cross-Sectional Survey of Parents’ Experiences of Emergency Department Visits Among Children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 52(5), 2046-2060. https://doi.org/10.1007/s10803-021-05091-9

Publication date: 1 Jun 2021 Added to AutiHub: 7 Sep 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
7
Publication authors identified as autistic
1 / 7 (14.3%)

Abstract

Parents of children with ASD who had attended an Australian emergency department (ED; n = 421) completed a questionnaire relating to their experiences in the ED, including (1) child's reason for presentation and existing comorbidities, (2) quality of care during the visit (3) child's behaviour during visit, e.g. sensory responses to the ED environment, and disruptive behaviours. Children with comorbid ASD and intellectual disability were more likely to present with gastrointestinal issues and seizures, while those with comorbid ASD and oppositional defiant disorder were more likely to present with self-injury. ED staff awareness of ASD-related issues, including communication and expression of pain, were common difficulties for parents. The ED environment (e.g. lights, sounds, waiting areas), exacerbated child anxiety and led to disruptive behaviour.

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: 12 Sep 2026 01:04.

Cited references
45
With a DOI
41
Without a DOI, from raw bibliography text
3
0 / 45 (0.0%) cited references include at least one author identified as autistic.
References with data to complete
3 / 45 (6.7%)
References with detected author names
43 / 45 (95.6%)
Without detected author names
2
Without a structured title
3
Without a stable identifier
3
References with raw author names still to review
2
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
168
From DOI or external metadata
168
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
5
16 / 168 (9.5%) names are linked to an author already present in AutiHub. 152 / 168 (90.5%) names are not yet linked.
Names linked to a person identified as autistic
0 / 168 (0.0%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 0 / 16 (0.0%). Distinct people identified as autistic: 0 / 144 (0.0%).
  1. AmirHossein Memari , Vahid Ziaee , FatemehSadat Mirfazeli , Ramin Kordi (2012). Investigation of Autism Comorbidities and Associations in a School‐Based Community Sample . Journal of Child and Adolescent Psychiatric Nursing, 25(2), 84-90. Wiley.
    Crossref OpenAlex OpenCitations
  2. González Moreno, Andrés Santiago (2013). Diagnostic and Statistical Manual of Mental Disorders . American Psychiatric Association.
    Crossref OpenAlex OpenCitations
  3. Paul S. Carbone , Diane D. Behl , Virgina Azor , Nancy A. Murphy (2010). The Medical Home for Children with Autism Spectrum Disorders: Parent and Pediatrician Perspectives . Journal of Autism and Developmental Disorders, 40(3), 317-324. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  4. K. Pratt , Gillian Baird , P. Gringras (2012). Ensuring successful admission to hospital for young people with learning difficulties, autism and challenging behaviour: a continuous quality improvement and change management programme . Child: Care, Health and Development, 38(6), 789-797. Wiley.
    Crossref OpenAlex OpenCitations
  5. Anna‐Karin Andersson , Monica Omberg , Marianne Svedlund (2006). Triage in the emergency department – a qualitative study of the factors which nurses consider when making decisions . Nursing in Critical Care, 11(3), 136-145. Wiley.
    Crossref OpenAlex OpenCitations
  6. Yona Lunsky , Ami Tint , Jonathan A. Weiss , Anna Palucka , Elspeth Bradley (2018). A review of emergency department visits made by youth and adults with autism spectrum disorder from the parent perspective . Advances in Autism, 4(1), 10-18. Emerald.
    Crossref OpenAlex OpenCitations
  7. Alexis Deavenport-Saman , Yang Lu , Kathryn Smith , Larry Yin (2016). Do Children with Autism Overutilize the Emergency Department? Examining Visit Urgency and Subsequent Hospital Admissions . Maternal and Child Health Journal, 20(2), 306-314. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  8. Yoav Benjamini , Dan Drai , Greg Elmer , Neri Kafkafi , Ilan Golani (2001). Controlling the false discovery rate in behavior genetics research . Behavioural Brain Research, 125(1-2), 279-284. Elsevier BV.
    Crossref OpenAlex OpenCitations
  9. Arlene Mannion , Geraldine Leader , Olive Healy (2013). An investigation of comorbid psychological disorders, sleep problems, gastrointestinal symptoms and epilepsy in children and adolescents with Autism Spectrum Disorder . Research in Autism Spectrum Disorders, 7(1), 35-42. Elsevier BV.
    Crossref OpenAlex OpenCitations
  10. Sneh Biyani , Patrick S. Morgan , Karin Hotchkiss , Matthew Cecchini , Craig S. Derkay (2015). Autism spectrum disorder 101: A primer for pediatric otolaryngologists . International Journal of Pediatric Otorhinolaryngology, 79(6), 798-802. Elsevier BV.
    Crossref OpenAlex OpenCitations
  11. Shelby A. Wilson , Catherine C. Peterson (2018). Medical care experiences of children with autism and their parents: A scoping review . Child: Care, Health and Development, 44(6), 807-817. Wiley.
    Crossref OpenAlex OpenCitations
  12. John J. McGonigle , Arvind Venkat , Carol Beresford , Thomas P. Campbell , Robin L. Gabriels (2014). Management of Agitation in Individuals with Autism Spectrum Disorders in the Emergency Department . Child and Adolescent Psychiatric Clinics of North America, 23(1), 83-95. Elsevier BV.
    Crossref OpenAlex OpenCitations
  13. Sarabeth Broder‐Fingert , Amy Shui , Christine Ferrone , Dorothea Iannuzzi , Erika R. Cheng , Ann Giauque et al. (2016). A Pilot Study of Autism-Specific Care Plans During Hospital Admission . Pediatrics, 137(Supplement_2), S196-S204. American Academy of Pediatrics (AAP).
    Crossref OpenAlex OpenCitations
  14. James G. Gurney , Melissa L. McPheeters , Matthew M. Davis (2006). Parental Report of Health Conditions and Health Care Use Among Children With and Without Autism . Archives of Pediatrics & Adolescent Medicine, 160(8), 825. American Medical Association (AMA).
    Crossref OpenAlex OpenCitations
  15. Ellen Giarelli , Romy Nocera , Renee Turchi , Thomas L. Hardie , Rachel Pagano , Ce Yuan (2014). Sensory stimuli as obstacles to emergency care for children with autism spectrum disorder . Adv Emerg Nurs J, 36(2), 145. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex OpenCitations
  16. Creswell, J. W., Klassen, A. C., Plano Clark, V. L., & Smith, K. C. (2011). Best practices for mixed methods research in the health sciences. Bethesda (Maryland) National Institutes of Health, 2013, 541–545.
    Type: Other
    Crossref
  17. Cécile Rattaz , Amandine Dubois , Cécile Michelon , Marine Viellard , François Poinso , Amaria Baghdadli (2013). How do children with autism spectrum disorders express pain? A comparison with developmentally delayed and typically developing children . Pain, 154(10), 2007-2013. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex OpenCitations
  18. Andrea B. Courtemanche , William R. Black (2016). Everyday expressions of pain in children with and without autism spectrum disorder . Research in Autism Spectrum Disorders, 26, 65-70. Elsevier BV.
    Crossref OpenAlex OpenCitations
  19. Meghan N. Davignon , Eron Friedlaender , Peter F. Cronholm , Breah Paciotti , Susan E. Levy (2014). Parent and Provider Perspectives on Procedural Care for Children with Autism Spectrum Disorders . Journal of Developmental & Behavioral Pediatrics, 35(3), 207-215. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex OpenCitations
  20. Sarah F. Kirsch , David L. Meryash , Bárbara González-Arévalo (2018). Determinants of Parent Satisfaction with Emergency or Urgent Care When the Patient Has Autism . Journal of Developmental & Behavioral Pediatrics, 39(5), 365-375. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex OpenCitations
  21. John J. McGonigle , Joann M. Migyanka , Susan J. Glor-Scheib , Ryan Cramer , Jeffrey J. Fratangeli , Gajanan G. Hegde et al. (2014). Development and Evaluation of Educational Materials for Pre-hospital and Emergency Department Personnel on the Care of Patients with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 44(5), 1252-1259. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  22. I. Vaz (2010). Improving the management of children with learning disability and autism spectrum disorder when they attend hospital . Child: Care, Health and Development, 36(6), 753-755. Wiley.
    Crossref OpenAlex OpenCitations
  23. Thomas B. Owley (2004). Treatment of individuals with autism spectrum disorders in the emergency department: Special considerations . Clinical Pediatric Emergency Medicine, 5(3), 187-192. Elsevier BV.
    Crossref OpenAlex OpenCitations
  24. Elizabeth Ely , Mei Lin Chen-Lim , Kate M. Carpenter , Emily Wallhauser , Eron Friedlaender (2016). Pain Assessment of Children with Autism Spectrum Disorders . Journal of Developmental & Behavioral Pediatrics, 37(1), 53-61. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex OpenCitations
  25. Sally Thorne (2016). Interpretive Description . Routledge.
    Type: Book DOI: 10.4324/9781315545196
    OpenCitations
  26. Deborah Quirantes (2009). Collaborative Approach to Autism: A Parent's Perspective . Journal for Specialists in Pediatric Nursing, 14(3), 203-205. Wiley.
    Crossref OpenAlex OpenCitations
  27. Kimberly Kopecky , Sarabeth Broder‐Fingert , Dorothea Iannuzzi , Susan Connors (2013). The Needs of Hospitalized Patients With Autism Spectrum Disorders . Clinical Pediatrics, 52(7), 652-660. SAGE Publications.
    Crossref OpenAlex OpenCitations
  28. Guodong Liu , Amanda M. Pearl , Lan Kong , Douglas L. Leslie , Michael J. Murray (2017). A Profile on Emergency Department Utilization in Adolescents and Young Adults with Autism Spectrum Disorders . Journal of Autism and Developmental Disorders, 47(2), 347-358. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  29. Jennifer Lucarelli , Leah Welchons , Georgios Sideridis , Nancy R. Sullivan , Eugenia Chan , Laura Weissman (2018). Development and Evaluation of an Educational Initiative to Improve Hospital Personnel Preparedness to Care for Children with Autism Spectrum Disorder . Journal of Developmental & Behavioral Pediatrics, 39(5), 358-364. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex OpenCitations
  30. C. Richards , C. Oliver , L. Nelson , J. Moss (2012). Self‐injurious behaviour in individuals with autism spectrum disorder and intellectual disability . Journal of Intellectual Disability Research, 56(5), 476-489. Wiley.
    Crossref OpenAlex OpenCitations
  31. Janet B W Williams , Michael First (2013). Diagnostic and Statistical Manual of Mental Disorders . Encyclopedia of Social Work. Oxford University PressNew York, NY.
    OpenAlex
  32. Jeanne Van Cleave , Chloe Holifield , Ann M. Neumeyer , James M. Perrin , Erin Powers , Linda Van et al. (2018). Expanding the Capacity of Primary Care to Treat Co-morbidities in Children with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 48(12), 4222-4230. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  33. Sarah Russell , Cynthia Ricci McCloskey (2016). Parent Perceptions of Care Received by Children With an Autism Spectrum Disorder . Journal of Pediatric Nursing, 31(1), 21-31. Elsevier BV.
    Crossref OpenAlex OpenCitations
  34. Elyssa B. Wood , Allyson Halverson , Gina Harrison , Amanda Rosenkranz (2019). Creating a Sensory-Friendly Pediatric Emergency Department . Journal of Emergency Nursing, 45(4), 415-424. Elsevier BV.
    Crossref OpenAlex OpenCitations
  35. Barbara Muskat , Andrea Greenblatt , David Nicholas , Savithiri Ratnapalan , Justine Cohen-Silver , Amanda S. Newton et al. (2016). Parent and health care provider perspectives related to disclosure of autism spectrum disorder in pediatric emergency departments . Autism, 20(8), 986-994. SAGE Publications.
    Crossref OpenAlex OpenCitations
  36. David Nicholas , Lonnie Zwaigenbaum , Barbara Muskat , William R. Craig , Amanda S. Newton , Justine Cohen-Silver et al. (2016). Toward Practice Advancement in Emergency Care for Children With Autism Spectrum Disorder . Pediatrics, 137(Supplement_2), S205-S211. American Academy of Pediatrics (AAP).
    Crossref OpenAlex OpenCitations
  37. Microsoft Corporation. (2018). Microsoft Excel. https://office.microsoft.com/excel
    Type: Other
    Crossref
  38. John W. Creswell , Ann Carroll Klassen , Vicki L. Plano Clark , Katherine Clegg Smith (2011). Best Practices for Mixed Methods Research in Health Sciences . PsycEXTRA Dataset, 2013, 541. American Psychological Association (APA).
    OpenAlex OpenCitations
  39. David Nicholas , Lonnie Zwaigenbaum , Barbara Muskat , William R. Craig , Amanda S. Newton , Christopher Kilmer et al. (2016). Experiences of emergency department care from the perspective of families in which a child has autism spectrum disorder . Social Work in Health Care, 55(6), 409-426. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  40. Ben Richards (2017). Caring for children with autism spectrum condition in paediatric emergency departments . Emergency Nurse, 25(4), 30-34. RCN Publishing Ltd..
    Crossref OpenAlex OpenCitations
  41. Joan M. Zanotti (2018). Handle with care . Nursing, 48(2), 50-55. Ovid Technologies (Wolters Kluwer Health).
    OpenAlex OpenCitations
  42. Sally Thorne (2016). Interpretive Description . Routledge.
    Crossref OpenAlex
  43. Sally Thorne (2025). Interpretive Description . Routledge.
    OpenAlex
  44. Marcia Jean Carter (2014). Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Therapeutic Recreation Journal, 48(3).
    Type: Article OpenAlex: https://openalex.org/W2906253013
    OpenAlex
  45. JM Zanotti (2018). Zanotti, J. M. (2018). Handle with care: Caring for children with autism spectrum disorder in the ED. The Peer-Reviewed Journal of Clinical Excellence, 48(2), 50–55. The Peer-Reviewed Journal of Clinical Excellence, 48(2), 50.
    Type: Other
    Crossref