Autism Spectrum Screening Questionnaire (ASSQ)

Autism Spectrum Disorder (ASD) remains a topic of paramount importance in the realms of mental health and developmental research. Early detection of ASD can significantly influence the trajectory of interventions and support available to an individual. One tool that stands out in this context is the Autism Spectrum Screening Questionnaire (ASSQ). This article delves deep into the development, use, appropriate age range, and implications of high scores on the ASSQ.

Who Developed the ASSQ?

The ASSQ was developed by Christopher Gillberg and Lennart Melin from Gothenburg University, Sweden, and Helen Kadesjö from Lund University, Sweden. Their collaborative effort was aimed at creating a reliable screening tool to detect subtle signs and symptoms of ASD in mainstream school-age children.

How is the ASSQ Used?

Structure & Format: The ASSQ comprises 27 items, focusing on social interaction, communication, and restricted and repetitive behavior – the hallmark areas of concern in ASD. Each item is scored on a 0-2 point scale, with a maximum score of 54.

Applications: The ASSQ has found diverse applications, including:

  • Schools: To screen children in mainstream educational settings.
  • Clinics: For preliminary evaluations before a detailed diagnostic assessment.
  • Research: As a tool to identify potential study participants or to gauge ASD symptoms’ severity.

Appropriate Age Range for the ASSQ

The ASSQ is designed specifically for children between the ages of 7 and 16. This age bracket represents a pivotal phase where early intervention can yield significant long-term benefits. Additionally, the questionnaire’s structure is tailored to pick up subtle cues in this age group, often missed by other screening tools.

Implications of a High Score on the ASSQ

A high score on the ASSQ suggests that a child might be displaying signs consistent with ASD. Here’s what to consider upon encountering a high score:

  1. Seeking Professional Assessment: It’s imperative to approach a developmental psychologist or pediatrician for a comprehensive evaluation.

  2. Personalized Interventions: If a diagnosis of ASD is confirmed, early interventions can be tailored to the child’s unique needs. This might include therapies, educational support, or counseling.

  3. Community and Support: Families can seek support groups and communities to share experiences and acquire practical coping strategies.

  4. Educational Adjustments: Schools can provide additional support and make necessary accommodations to foster a conducive learning environment.


The Autism Spectrum Screening Questionnaire (ASSQ) is a potent tool in the arsenal of professionals and educators alike, helping pinpoint potential cases of ASD early on. With its focus on school-aged children, it provides a timely and effective means to set the stage for suitable interventions and support.

Front desk staff may not always have the appropriate clinical expertise to answer questions about your unique situation. That’s why we provide quick and efficient consultations with experienced clinicians.