Learning Access Toolkitfrom Dive into Divergence

The unseen cost of neurodivergenceBarriers beyond the learning environment

Each visualisation on this page compares two illustrative groups of 100These groups are proportionally scaled representations of the referenced statistics. They do not represent real groups of specific people. people. On the left, 100 neurodivergent people. On the right, 100 people representing the general populationEach finding names the group its study compared against. For some findings this is the general population, and for others it is a narrower group, such as non-autistic adults or other children. The contextual statistics below give estimates for the general population..

Contextual statistics: click or tap to expand.

Trauma, barriers and the social model

“autistic people may be more likely to experience traumatic life events”National Autistic Society, professional practice

Many of the events autistic people report as traumatic come from their surroundings.

  • Bullying
  • Abuse
  • Sensory events
  • Changes of routine
  • Social misunderstanding

Each of these comes from how other people behave, or from how places and routines are set up. Those are the barriers around a person.

The social model of disability

The British sociologist Michael Oliver (1990) named the social model of disability. It places the barrier in the setting around a person: in how places, information, services and routines are designed, and in how other people respond. A characteristic, such as reading slowly or noticing sound strongly, belongs to the person.

The barrier is a design decision, and a design decision can change.

Trauma-informed practice

Scotland's National Trauma Transformation Programme describes being trauma informed like this.

“Being able to recognise when someone may be affected by trauma, collaboratively adjusting how we work to take this into account and responding in a way that supports recovery, does no harm and recognises and supports people's resilience.”

It applies to everyone in a group, whether or not anyone has shared their history.

Source: National Trauma Transformation Programme, NHS Education for Scotland

What the findings show

The findings below describe outcomes in work, healthcare, trauma, childhood, length of life and suicide. The studies link these outcomes to depression, to support that people needed and did not receive, and to healthcare that was difficult to get. The UK ADHD researchers describe the risk factors as modifiable, which means they can change.

Source: O'Nions et al., 2025, British Journal of Psychiatry

That link between trauma and barriers is why trauma-informed practice is fundamental to the Learning Access Toolkit.

A session designed to be predictable, to offer choice and to avoid further harm may help the people who need it most, without anyone having to tell you anything.

Content note

Two findings on this page are about suicide.

They are covered until you choose to show them, and you can scroll past them. Every finding, including those two, is also written out in full at the end of the page.

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100 neurodivergent people

100 people in the comparison group

Autistic women with a learning disability14.6 yearsWomen diagnosed with ADHD9 yearsMen diagnosed with ADHD7 yearsAutistic men with a learning disability7 yearsAutistic adults without a learning disability6 years

How it works

Scroll through the findings

At each finding, the people it counts move to the middle of their group and fill in. Everyone else stays as an outline. The labels above the groups name who is being compared each time.

Work

In paid work: 21 against 58

In Scotland's 2011 census, 21 in 100 autistic adults were in paid work. For all adults in Scotland, the figure was 58 in 100.

That is 37 fewer people in paid work, in every 100.

Fifteen months after graduating, autistic graduates are twice as likely to be unemployed as non-disabled graduates.Buckland Review of Autism Employment, 2024

Source: Rydzewska et al., Scotland's Census 2011 · Buckland Review of Autism Employment, 2024

Healthcare

Find it difficult to visit a GP: 80 against 37

80 in 100 autistic adults said they found it difficult to visit a GP. For non-autistic adults, the figure was 37 in 100.

That is 43 more people who find it difficult, in every 100.

In the same survey, 72 in 100 autistic adults found it difficult to decide whether a symptom was worth a visit. 53 in 100 found it difficult to communicate with their doctor.

Source: Doherty et al., 2022, BMJ Open

Trauma

Probable PTSD after trauma: 45 against about 5

Among autistic adults who had experienced a traumatic event, 45 in 100 met the threshold for probable PTSD. For non-autistic adults, the figure was about 5 in 100.

That is about 40 more people, in every 100.

“autistic people may be more likely to experience traumatic life events”National Autistic Society, professional practice

Autistic people report bullying and abuse as traumatic. They also report sensory events, changes of routine and social misunderstanding. Each of those three can happen during a session, which is one reason the design of a session matters here.

Source: Rumball, Happé and Grey, 2020, Autism Research · National Autistic Society, professional practice

Childhood

Four or more adverse childhood experiences: 18 against 7

18 in 100 children with ADHD had four or more adverse childhood experiences. For other children, the figure was 7 in 100.

That is 11 more children, in every 100.

Source: Brown et al., 2017, Academic Pediatrics

Years of life

Up to 14.6 years of life lost

UK health records show that adults diagnosed in these groups die younger, on average, than other adults. Each square is one year of life lost.

  • Autistic women with a learning disability: about 14.6 years
  • Women diagnosed with ADHD: about 9 years
  • Men diagnosed with ADHD: about 7 years
  • Autistic men with a learning disability: about 7 years
  • Autistic adults without a learning disability: about 6 years

The ADHD researchers name risk factors that can change, and support and treatment that people needed and did not receive.

Source: O'Nions et al., 2024, Lancet Regional Health Europe · O'Nions et al., 2025, British Journal of Psychiatry

Content note

The next two findings are about suicide.

They are covered until you choose to show them. You can scroll past them.

Samaritans 116 123 · Breathing Space 0800 83 85 87 · text SHOUT to 85258 · 999 in an emergency

Suicide

Have thought about suicide: 66 against 17

66 in 100 adults newly diagnosed with Asperger's had thought about suicide. In the general population, the figure was 17 in 100.

That is 49 more people, in every 100.

Source: Cassidy et al., 2014, Lancet Psychiatry

Suicide

Have attempted suicide: 11 against 3

11 in 100 adults with dyslexia or another learning disorder had attempted suicide. For other adults, the figure was 3 in 100. Among women, the figures were 17 in 100 and 3 in 100.

That is 8 more people, in every 100.

The higher rate remained after accounting for depression, ADHD, childhood adversity and income.

In Danish and Swedish records, diagnosed autistic people died by suicide at three to seven times the rate of the general population.

Source: Fuller-Thomson et al., 2018, Journal of Learning Disabilities · Kõlves et al., 2021, JAMA Network Open

Corrections

Figures the studies do not support

These figures are often repeated. The research does not support them in the form they are usually quoted.

  • “Autistic people die 16 years earlier” The 16 years comes from a 2016 Swedish study. It is based on the average age at death of the 2.6% of autistic people who died during the study, which is a different measure from life expectancy. A 2025 analysis found that 70% of the papers citing the study read the figure wrongly.
  • “ADHD costs 12.7 years of life” This estimate came from a life expectancy calculator applied to 131 people. The UK records of 30,039 adults give about 7 years for men and 9 for women.
  • “5% of autistic adults marry” Nobody has traced this figure to a study.

Source: Hand et al., 2025, JAMA Network Open · Barkley and Fischer, 2019 · Power et al., 2013, JAMA Psychiatry

What the studies point to

The studies link these outcomes to factors that can change

The studies on this page link these outcomes to depression, to support that people needed and did not receive, and to healthcare that was difficult to get. The UK ADHD researchers describe the risk factors as modifiable, which means they can change.

Source: O'Nions et al., 2025, British Journal of Psychiatry

After the findings

The design of a session can change.

The sessions you design are part of the setting a learner meets, and you can change them.

A single change may make a session more predictable for everyone in it, including people who have not told you about their experiences. Before you close this page:

  • Choose one barrier you have seen in your own sessions.
  • Read the Barrier Brief for that barrier in the Learning Access Toolkit.
  • Make one change for the whole group, whether or not anyone has asked for it.
  • Write the change down, and look at it again after your next few sessions.
Saved in this browser only. Nobody else can see it.

If any of these findings is about you or someone close to you: Samaritans 116 123 · Breathing Space (Scotland) 0800 83 85 87 · text SHOUT to 85258 · 999 in an emergency.

Every finding in full

The complete set of findings, written out, including the suicide findings. Each finding gives what it measured and its source.

Trauma

45 in 100 met the threshold for probable PTSD

Autistic adults who had experienced trauma and met the threshold for current probable PTSD: 45 in 100, against about 5 in 100 non-autistic adults. 61 in 100 had met the threshold at some point in their lives.

So an autistic adult in this study was 10 times as likely as a non-autistic adult to meet the threshold for PTSD.

Source: Rumball, Happé and Grey, 2020, Autism Research

Events autistic people report as traumatic

Autistic people report bullying and abuse as traumatic. They also report sensory events, changes of routine, social misunderstanding, and the loss of a person or of support.

Source: National Autistic Society, professional practice

18 in 100 had four or more adverse childhood experiences

Children with ADHD who had four or more adverse childhood experiences: 18 in 100, against 7 in 100 other children.

So a child with ADHD was 2.6 times as likely as a child without ADHD to have four or more adverse childhood experiences.

Source: Brown et al., 2017, Academic Pediatrics

Work

21 in 100 were in paid work

Autistic adults in Scotland who were in paid work: 21 in 100, against 58 in 100 of all adults in Scotland.

So an adult in Scotland was 2.8 times as likely to be in paid work as an autistic adult.

Source: Rydzewska et al., Scotland's Census 2011

Healthcare

80 in 100 found it difficult to visit a GP

Autistic adults who reported difficulty visiting a GP: 80 in 100, against 37 in 100 non-autistic adults.

So an autistic adult was 2.2 times as likely as a non-autistic adult to report difficulty visiting a GP.

Source: Doherty et al., 2022, BMJ Open

53 in 100 found it difficult to communicate with their doctor

Autistic adults who reported difficulty communicating with their doctor: 53 in 100.

Source: Doherty et al., 2022, BMJ Open

72 in 100 found it difficult to decide whether to go

Autistic adults who reported difficulty deciding whether a symptom was worth a visit: 72 in 100.

Source: Doherty et al., 2022, BMJ Open

Alongside autism

About 50 in 100 found it difficult to name their own feelings

Autistic people with alexithymia, which is difficulty naming their own feelings: about 50 in 100, against about 5 in 100 of other people.

So an autistic person was 10 times as likely as a person who is not autistic to have difficulty naming their own feelings.

Source: Kinnaird et al., 2019, European Psychiatry

28 in 100 also had ADHD

Autistic people who also had ADHD: 28 in 100. In the same analysis, 20 in 100 had an anxiety disorder, 13 in 100 had a sleep disorder and 11 in 100 had depression.

Source: Lai et al., 2019, Lancet Psychiatry

Years of life

About 7 years of life lost

Men diagnosed with ADHD lost about 7 years of life. The authors name modifiable risk factors, which are risk factors that can change, and support and treatment needs that were not met.

Source: O'Nions et al., 2025, British Journal of Psychiatry

Treatment and prison

Twice the rate of substance use problems

Autistic people without ADHD or a learning disability had substance use problems at twice the rate of the general population. The rate was highest where autism and ADHD occurred together.

Source: Butwicka et al., 2017

Family

About a quarter as many children

Autistic men had about a quarter as many children as the general population. Autistic women had about half as many.

Source: Power et al., 2013, JAMA Psychiatry

Grief

What autistic adults describe after a bereavement

Autistic adults described sensory changes, more masking, shutdown and meltdown after a bereavement, and a risk of burnout.

Source: Pang, 2023, Middlesex University

Suicide

66 in 100 had thought about suicide

Adults newly diagnosed with Asperger's who had thought about suicide: 66 in 100, against 17 in 100 in the general population.

So a newly diagnosed adult was 3.9 times as likely as an adult in the general population to have thought about suicide.

Source: Cassidy et al., 2014, Lancet Psychiatry

11 in 100 had attempted suicide

Adults with dyslexia or another learning disorder who had attempted suicide: 11 in 100, against 3 in 100 of other adults. Among women, the figures were 17 in 100 and 3 in 100.

So an adult with dyslexia was 4.1 times as likely as an adult without dyslexia to have attempted suicide.

Source: Fuller-Thomson et al., 2018, Journal of Learning Disabilities

Three to seven times the rate

Suicide among diagnosed autistic people in Danish and Swedish records was three to seven times the rate of the general population.

Source: Kõlves et al., 2021, JAMA Network Open

About twice the rate at age 16

Young people with social communication difficulties self-harmed with suicidal intent at about twice the rate at age 16, in a study of 5,031 young people.

Source: Culpin et al., 2018, JAACAP

Corrections

The 54-year figure is an average age at death

“Autistic people die 16 years earlier.” The claim comes from a 2016 Swedish study, which reported the average age at death of the 2.6% of autistic people who died during the study. That figure is an average age at death, and life expectancy is a different measure.

Source: Hand et al., 2025, JAMA Network Open

12.7 years came from a calculator

“ADHD costs 12.7 years of life.” That estimate came from a life expectancy calculator applied to 131 people.

Source: Barkley and Fischer, 2019

No traceable source

“5% of autistic adults marry” and “2.8 times more likely to divorce”. Both figures are widely repeated, and nobody has traced either of them to a source.

Source: Power et al., 2013, JAMA Psychiatry

Twice as likely to be unemployed after graduating

“It comes down to qualifications.” Fifteen months after graduating, autistic graduates are twice as likely as non-disabled graduates to be unemployed.

Source: Buckland Review of Autism Employment, 2024

Support: Samaritans 116 123 · Breathing Space (Scotland) 0800 83 85 87 · text SHOUT to 85258 · 999 in an emergency.