Evidence map›Paper›PMID 30851399›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2019

Recurrence Risk of Autism in Siblings and Cousins: A Multinational, Population-Based Study.

Stefan N Hansen, Diana E Schendel, Richard W Francis, Gayle C Windham, Michaeline Bresnahan, Stephen Z Levine, Abraham Reichenberg, Mika Gissler, Arad Kodesh, Dan Bai and 10 more

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Autistic Adults and Loved Ones' Experiences of a Later Life Diagnosis.Journal of autism and developmental disorders · 2026
    Article
  8. Article
  9. Review
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  11. EEG neurosubtyping of infants predicts language trajectories.Journal of neural transmission (Vienna, Austria : 1996) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 10 institutions in 7 countries.

Stefan N HansenAarhus University, Aarhus, Denmark. Electronic address: stefanh@ph.au.dk.
Diana E SchendelAarhus University, Aarhus, Denmark; Lundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCH, National Centre for Register-based Research, Aarhus University.
Richard W FrancisTelethon Kids Institute, The University of Western Australia, Perth, Australia.
Gayle C WindhamEnvironmental Health Investigations Branch, California Department of Public Health, Richmond, CA.
Michaeline BresnahanColumbia University, Mailman School of Public Health, New York, NY; New York State Psychiatric Institute, New York, NY.
Stephen Z LevineUniversity of Haifa, Haifa, Israel.
Abraham ReichenbergIcahn School of Medicine at Mount Sinai, New York, NY; Seaver Autism Center for Research and Treatment at Mount Sinai, New York, NY.
Mika GisslerDivision of Family Medicine, Karolinska Institutet; the University of Turku, Research Centre for Child Psychiatry, Turku, Finland; THL National Institute for Health and Welfare, Information Services Department, Helsinki, Finland.
Arad KodeshUniversity of Haifa, Haifa, Israel; Meuhedet Health Services, Tel Aviv, Israel.
Dan BaiThe Chinese University of Hong Kong, the Jockey Club of School of Public Health and Primary Care, Division of Family Medicine, Hong Kong.
Benjamin Hon Kei YipThe Chinese University of Hong Kong, the Jockey Club of School of Public Health and Primary Care, Division of Family Medicine, Hong Kong.
Helen LeonardTelethon Kids Institute, The University of Western Australia, Perth, Australia.
Sven SandinIcahn School of Medicine at Mount Sinai, New York, NY; Seaver Autism Center for Research and Treatment at Mount Sinai, New York, NY; Karolinska Institutet, Stockholm, Sweden.
Joseph D BuxbaumIcahn School of Medicine at Mount Sinai, New York, NY; Seaver Autism Center for Research and Treatment at Mount Sinai, New York, NY.
Christina HultmanKarolinska Institutet, Stockholm, Sweden.
Andre SouranderTurku University and Turku University Hospital.
Emma J GlassonTelethon Kids Institute, The University of Western Australia, Perth, Australia.
Kingsley WongTelethon Kids Institute, The University of Western Australia, Perth, Australia.
Rikard ÖbergKarolinska Institutet, Stockholm, Sweden.
Erik T ParnerAarhus University, Aarhus, Denmark.
Karolinska Institutet · SEUniversity of Western Australia · AUAarhus University · DKChinese University of Hong Kong · CNIcahn School of Medicine at Mount Sinai · USCalifornia Department of Public Health · USClalit Health Services · ILColumbia University · USTurku University Hospital · FIUniversity of Haifa · IL

Funding

Population-Based Autism Genetics & Environment StudyR01MH097849 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BUXBAUM, JOSEPH D. · 2014 to 2022
$5.2M
Multigenerational FamIlial and Environmental Risk for Autism (MINERvA) NetworkU01HD073978 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI REICHENBERG, ABRAHAM · 2012 to 2016
$4.9M
Population-Based Autism Genetics & Environment StudyR56MH097849 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BUXBAUM, JOSEPH D. · 2012 to 2013
$1.3M
NICHD NIH HHS U01 HD073978NIMH NIH HHS R01 MH097849NIMH NIH HHS R56 MH097849
6 · The paper itself

Abstract

objectiveFamilial recurrence risk is an important population-level measure of the combined genetic and shared familial liability of autism spectrum disorder (ASD). Objectives were to estimate ASD recurrence risk among siblings and cousins by varying degree of relatedness and by sex.

methodThis is a population-based cohort study of livebirths from 1998 to 2007 in California, Denmark, Finland, Israel, Sweden and Western Australia followed through 2011 to 2015. Subjects were monitored for an ASD diagnosis in their older siblings or cousins (exposure) and for their ASD diagnosis (outcome). The relative recurrence risk was estimated for different sibling and cousin pairs, for each site separately and combined, and by sex.

resultsDuring follow-up, 29,998 cases of ASD were observed among the 2,551,918 births used to estimate recurrence in ASD and 33,769 cases of childhood autism (CA) were observed among the 6,110,942 births used to estimate CA recurrence. Compared with the risk in unaffected families, there was an 8.4-fold increase in the risk of ASD following an older sibling with ASD and a 17.4-fold increase in the risk of CA following an older sibling with CA. A 2-fold increase in the risk for cousin recurrence was observed for the 2 disorders. There also was a significant difference in sibling ASD recurrence risk by sex.

conclusionThe present estimates of relative recurrence risks for ASD and CA will assist clinicians and families in understanding autism risk in the context of other families in their population. The observed variation by sex underlines the need to deepen the understanding of factors influencing ASD familial risk.

Indexed as

SiblingsAdolescentAutism Spectrum DisorderChildChild, PreschoolCohort StudiesFemaleGene-Environment InteractionGenetic Predisposition to DiseaseHumansInternationalityMaleProportional Hazards ModelsRecurrenceRisk Factorsautismfamilial risklongitudinalmultinationalrecurrence

Identifiers

PMID30851399
PMCPMC6708733
OpenAlexW2922177855

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.