Why Are Autistic Children at a Higher Risk of Drowning?

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ASPartOfMe
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12 Aug 2024, 11:13 am

Newsweek

Quote:
Drowning is the leading cause of death for autistic children, according to a study from Columbia University, and people with autism are 160 times more likely to drown than their neurotypical peers, according to the Autism Society of America.

Beckie Geddie, Director of Marketing at the Autism Society of America, explained to Newsweek that, "Autistic people are at higher risk of drowning due to the high incidence of wandering."

Roughly 50 percent of people with autism will wander of have wandered, according to a study from the Kennedy Krieger Institute.

The Centers for Disease Control and Prevention (CDC) describes wandering or elopement as "when someone leaves a safe area or a responsible caregiver." Wandering affects individuals who have disabilities, such as autism spectrum disorder (ASD) or an intellectual disability (ID). In a study from Autism Speaks, the charity explains that "wandering by children with autism is common, dangerous and puts tremendous stress on families."

Geddie explained to Newsweek that, "When a person with Autism has wandered, they may be in a heightened state of arousal, altering their ability to determine what is safe or unsafe." Geddie added that, "This means that the individual could unknowingly put themselves in a dangerous situation, especially when wandering towards water."

Tonya Haynes, a professor at the University of Missouri-St. Louis in the College of Nursing, told Newsweek that, "Autism is a developmental disability that tends to result in brain differences."

“Because of those differences in brain functioning and brain development, sensory processing, children and individuals with autism tend to process things differently."

Haynes, who is also the Champion of Change for Autism Speaks, added that, "There may not be that heightened awareness of danger and understanding of safety, for example, and appreciation of the variation in water depth."

Are There Specific Behaviors or Conditions That Contribute to This Increased Risk?
"A diagnosis in itself, of autism, is a risk factor." Haynes told Newsweek. "If the child has a certain interest, if a child is in an environment where there is something of interest that puts the child at increased risk for elopement or wandering, especially near bodies of water or swimming pools," Haynes said.

Rising temperatures cause a rise in risk factors for autistic children.

There is an uptick in wandering tragedies during summer months," Francesca Cascardo of Autism Speaks told Newsweek. "As the weather warms up there is a natural increase in availability of recreational bodies of water like pools or trips to the beach."

Geddie and Haynes both told Newsweek that water can be calming to children with autism. This fact is also emphasized in the report from Columbia University, which quotes Dr Guoha Li as stating, "With impaired communication and social skills, autistic kids tend to seek relief of their heightened anxiety from the serenity of water bodies. Unfortunately, this behavior too often leads to tragedies."

What Preventative Measures Can Be Taken?
Preventive measures outlined to Newsweek by Geddie and Haynes include:

Use layers of protection: pool fences, enclosures, door alarms or signals on water sources.

Persons can wear bracelets or pins that identify their condition.

Utilize a water watcher or go in areas where lifeguards are on duty.

GPS technology can be used for at risk persons.

Use a lifejacket, especially if the person is not competent in water.

Geddie added that people should be able to swim or at least be water competent. She added that the public should also learn CPR.

Geddie noted that risks extend beyond bodies of water, and told Newsweek that, "Additional risks include events with a lot of people, high traffic areas, wooded areas, canals, easily opened or climbable fence[s], retention ponds and more."

A definite scare article, too many quotes from Autism Speaks and 160 times drowning rate deaths compared with NT’s seems extreme. Also since the hyperlink links to other Newsweek stories not the study I have no way of knowing if the extreme rate is what the actual study says.

Despite all the caveats Autistic children wandering and drowning is are real issues. The explanations given seem reasonable.


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lostonearth35
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12 Aug 2024, 11:30 am

I don't know about other autistic children, but when I was a kid I loved the water and I really can't remember not knowing how to swim.

But even people who can swim really well sometimes drown, anyway.

I think the reason was because I felt so awkward and like "a fish out of water" when I was on land.



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12 Aug 2024, 11:34 am

Because autistic kids love to swim and the more time you spend in the water, the more likely you are to drown.


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12 Aug 2024, 12:05 pm

I nearly drowned more than once as a kid. :nerdy:


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12 Aug 2024, 12:55 pm

The elopement aspects -- meaning wanting to explore alone, or self regulate elsewhere.
Because company can be so clueless or/and suffocating and the environment doesn't help.

Sure, there's being impulsive or apathetic or both towards whatever company they're with enough to just do that.

Ranging from whatever intellectual disabilities or developmental delays related to self preservation that lead them into some sort of fearlessness.

To dive in?
Well, if they're sensory seeking, why not?
If they just want to play, like most kids, why not?

As for falling...
Other than aforementioned developmental delays or intellectual disabilities -- of course, clumsiness and spatial awareness can be quite a factor especially in something so young.

Less self preservation?
Also meant less reflexes in survival. Not just the inaccessibility of physical or mental comprehension of the situation itself.

If not less self preservation along with cognitive issues and physicality?
Then there's too much anxiety instead, obviously, can spell a kid, or anyone in similar positions, doom while panicking.



:lol: Sigh.
This is old news to me. Really. Seen it countless times in the internet.


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29 Nov 2024, 9:40 am

Why are kids with autism attracted to water? University Of Central Florida expert shines light on recent tragedies

Quote:
Over the last two weeks, three autistic boys, including two in Volusia County, drowned after they briefly went missing from their parents.

While these incidents weren't directly related, their shared circumstances were not purely coincidental.

“I would say, unfortunately, this is not as uncommon as it might seem,” Jennifer Cicia, an autism disorders specialist with the University of Central Florida’s Center for Autism and Related Disabilities, said in an interview.

“Children with autism wandering away from a safe place or a safe person and drowning is, unfortunately, a fairly common occurrence,” Cicia said. “About a third of children with autism have a tendency to wander or elope.”

“Coupled with that tendency, autistic children often do not have the “safety awareness that a neurotypical child has.”

In addition, people on the autism spectrum, especially children, can “exhibit a strong fascination and attraction to water that goes beyond what the rest of us may experience,” according to the Autism Society of Florida.

The ASF is a nonprofit organization engaged in “advocacy; education; information and referrals; support; and community building” assisting people with autism, according to its website.

Why are children with autism drawn to water?
Some people with autism can be “more sensitive or less sensitive than other people to sensory input, such as light, sound, clothing or temperature.”

That’s why, “for individuals with autism, water offers a multisensory experience that fulfills multiple needs at once,” according to the ASF. The water’s reflection, its bubbling and "sparkling" sounds and movements, its sensation on the skin, the smells of salty ocean water or of chlorine in swimming pools can all “be intriguing and stimulating for individuals with autism.”

An autistic person’s potentially heightened sensitivity to everyday sounds, bright lights and even smells can be a challenging experience.

“When submerged underwater, these sensory stimuli are muted, providing a respite from the overwhelming sensory input of the world around us,” according to the USF.

But in turn, when in the water, autistic children might “underreact” to a sensory experience, Cicia said.

“They seek more of (sensory experiences) because their brains process it less than the typical brain would process it,” Cicia said. “That’s where we find that they are seeking out those sensory experiences much more than a neurotypical kid.”


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29 Nov 2024, 1:03 pm

Hmmm... Perhaps related...

When I was quite young my parents signed me up for Red Cross swimming lessons. I did not have any diagnosis at the time...I wasn't even eligible for a diagnosis until 1994, the year I turned 40 and the year Asperger's Syndrome was added to the DSM. They just thought it was a good idea for little kids to be able to swim.

Hmmm... I wonder whether they still felt that way when the family was at the bay and a very young me called back to the shore "I'm going across!!"
- I was wearing a life-jacket
- My Dad swam out to stop me...he caught me long before I got to the shipping lane.


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30 Nov 2024, 12:28 pm

We are much more instinctively attracted to water than most people. I was also a swim instructor for decades and I have taught several Autistic people to swim. Teaching an Autistic person, especially an Autistic child to swim, can sometimes require a special skill set that is very difficult for many instructors to understand so sometimes Autistic children are not taught to swim or are not taught to swim well enough.


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05 Dec 2024, 9:08 am

I wonder if maybe the real problem is Doing Dangerous Things Alone.



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05 Dec 2024, 12:27 pm

SocOfAutism wrote:
I wonder if maybe the real problem is Doing Dangerous Things Alone.
Not as far as drowning goes. Many people drown and even die from drowning in crowds. Many children drown with their parents within arms reach of them. One of the pools I worked at had a four year old die of drowning with six lifeguards watching the pool. Drowning is very tricky. You can literally drown in front of people and they don't realize that you are dying.


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Yesterday, 2:34 pm

skibum wrote:
We are much more instinctively attracted to water than most people.


Exactly. It doesn't need to be more complicated than that. Many autistics, both young and old, simply adore water and find it fascinating. So, as children, they naturally want to explore it when they can.



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Yesterday, 3:08 pm

lostonearth35 wrote:
I don't know about other autistic children, but when I was a kid I loved the water and I really can't remember not knowing how to swim.

But even people who can swim really well sometimes drown, anyway.

I think the reason was because I felt so awkward and like "a fish out of water" when I was on land.


I liked the water, too. We had a farm pond that we would often swim in. I also had swimming lessons because I kept going "swimming" in the farm pond when nobody was around.

In spite of that, the first time I ever jumped off a diving board, I went straight to the bottom and stayed there. The local pastor heard the yelling when I didn't resurface, ran over, dived in, and pulled me out. After getting me breathing again, I rested a couple of minutes and continued my swim. In retrospect, they should have sent me to the emergency room since a number of drowning deaths happen hours later without anyone realizing that the "drownee" was not out of danger just because they were out of the water and breathing again.


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