Empowering Early Detection of Autism in Girls
Welcome to SheSignals. At SheSignals, we are dedicated to helping parents, educators, and clinicians recognize early signs of autism in girls, a population often overlooked due to subtle or masked presentations. Through precise screening tools and a deeper understanding of gender-specific behaviors, SheSignals strives to enable early support, intervention, and empowerment.

Our Mission
To close the diagnostic gap and foster early, accurate identification of autism in girls, allowing them to thrive with timely support.
Why Early Detection of Autism in Girls Matters
Early detection of autism in girls is critical because autistic traits in females often present differently, more subtly, or are intentionally masked compared to males. Without early identification, girls are at higher risk of experiencing chronic mental health challenges, and delayed access to crucial support systems. Moreover, girls with autism are frequently misdiagnosed or diagnosed later than boys.
Early recognition in girls can be life-changing. It dramatically improves developmental outcomes by enabling access to therapies, support systems, and educational accommodations when they are most impactful.
It is the key to unlocking strengths, navigating challenges, and building a future where autistic girls are fully seen and supported. Early diagnosis is not just about labeling—it is about opening doors to understanding, authentic support, and healthier futures for autistic girls.
Our Technology
SheSignals uses an optimized XGBoost model to analyze structured responses from parents, guardians, and educators across 36 behavioral and developmental indicators. The model is enhanced with domain-level feature engineering — computing composite scores across social, sensory, emotional, communication, masking, and routine behaviors — bringing the total to 46 analytical dimensions. Trained with Bayesian hyperparameter optimization and a clinically tuned decision threshold, the system maximises recall to minimise missed cases. The result is a confidence-based recommendation that helps families determine whether seeking a specialist evaluation may be beneficial. The technology is designed to support early awareness and professional follow-up, not replace clinical diagnosis.
Facts about Autism in Girls
On average, women experience a 10-year delay in receiving an autism diagnosis from their first presentation to mental health services? This delay is particularly evident in women who exhibit more nuanced autistic traits and do not have intellectual disabilities.
A questionnaire conducted by the Autistic Girls Network found that 43% of autistic girls waited up to two years for a diagnosis, while 24% waited more than three years.
Autism Spectrum Disorder (ASD) is diagnosed more frequently in males than females, with traditional estimates suggesting a 4:1 male-to-female ratio. However, recent research indicates that this disparity may be due to under-diagnosis in females. Studies have found that nearly 80% of autistic females remain undiagnosed by age 18.
In the United States, approximately 1 in 36 child is diagnosed with autism. Boys are nearly four times more likely to be diagnosed than girls, with about 4 in 100 boys and 1 in 100 girls identified as having autism.
A 2022 study published in Autism Research found that autistic girls are more likely to first be misdiagnosed with anxiety, depression, borderline personality disorder, or eating disorders before receiving an autism diagnosis.
Almost 50% of autistic females surveyed reported receiving a mental health diagnosis before their autism was identified.
A 2021 meta-analysis found that late-diagnosed autistic women were three times more likely to experience major depressive disorder, self-harm, or suicidality compared to early-diagnosed individuals.
Boys are diagnosed with autism at much higher rates than girls. According to research, about 1 in 42 boys (around 2.4%) are diagnosed with autism, whereas 1 in 189 girls (around 0.5%) are diagnosed. This means boys are about four times more likely to be diagnosed early compared to girls.
Our Screening Approach
SheSignals offers a comprehensive, girl-centered early detection framework:
Neurodevelopmental history collection
Sensory processing pattern analysis
Social communication and emotional regulation screening
Masking and camouflaging behavior identification
Parent, caregiver, and educator collaboration
Our questions and explanations are tailored to uncover nuanced indicators often missed in standard screening models.
Sample Screening Focus Areas
1. Developmental Milestones
Why Important: Age-specific expectations help differentiate transient delays from persistent neurodevelopmental patterns.
2. Social Reciprocity and Friendships
Why Important: Superficial social fluency can mask deep struggles with peer interactions.
3. Emotional and Sensory Regulation
Why Important: Subtle internalized distress can precede overt signs of anxiety and depression.
4. Masking and Camouflaging Behaviors
Why Important: Girls often work hard to mimic typical behaviors, leading to later or missed diagnoses.
5. Family and Medical History
Why Important: Genetic and perinatal factors provide critical diagnostic context.
Resources to Download
Please note that these resources are for your early awareness. These are not for diagnostic. Our recommendations are meant to encourage you to engage with a qualified medical professional for a timely follow-up.
Advisors
- Lauren LevinsonBay Area Friendship Circle
- Sydney ZitzerPacific Autism Center for Education
Books We Recommend
- How to be Autistic by Rachel Morgan-Trimmer
- Autism in Heels: The Untold Story of a female life on the spectrum by Jennifer Cook O’Toole
- But You Don’t Look Autistic At All by Bianca Toeps
- Nobody Nowhere by Donna Williams
Contact Us
Anushka Parekh
Founder SheSignals, LLC
anushka@shesignals.com
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