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The long-term, negative physical and mental health effects of childhood adversity are well-documented in the literature, as are the mitigating effects of resilience factors. However, for those on the autism spectrum, these phenomena are relatively unstudied and not well-understood. Articulating the concept of mental health as a function of childhood adversity, resilience, and autistic identity, provides a foundation from which to conduct research and provide clinical mental health supports to individuals on the autism spectrum. Research on adversity and resilience in this population must consider neurodiversity and foreground the perspectives of the autism and autistic communities in research design, study implementation, and findings dissemination. Children on the autism spectrum experience more adversity and more mental health challenges than their non-autistic peers, a relationship that is not well-understood by researchers or clinicians. Autistic adults can provide insight into their experience of adversity and the potential influence of it on their mental health. It is unclear what factors contribute to protecting autistic children from the potential negative effects of adversity. This protection is known as resilience and may be developed differently in children on the autism spectrum. Childhood adversity and resilience are important considerations in developing mental health supports for individuals on the autism spectrum. Research and clinical practice can adopt a neurodiversity-affirming perspective to better meet the mental health needs of autistic individuals. Engaging the autistic community to provide their perspectives and experiences is vital to developing effective mental health strategies for those on the autism spectrum. [ABSTRACT FROM AUTHOR]

Members of the autistic community have long advocated for more input into and participation with autism-related research. Currently, the power to determine the direction of autism-related research and knowledge production related to autism lies with non-autistic researchers, while the wishes and perspectives of the autistic community are largely ignored. There is a growing trend toward ethical autism-related research, however, in which the perspectives of all stakeholders, particularly those of autistic individuals, are sought and their expertise on autism is foregrounded. In a study exploring the experiences of childhood adversity and resilience among autistic adults, we strove to conduct our research in an inclusive and ethical way, by integrating participatory methods, such as community engagement to inform research design, and credibility checking with participants to confirm that the analysis resonated with their experiences. Five stakeholders, representing parents of children on the autism spectrum, professionals, and autistic community members were recruited to provide input into the research design and provide insight into autistic ways of communicating, interacting, and being. The recommendations generated through this community engagement were then integrated into an interpretative phenomenological analysis (IPA) framework and implemented with four adult autistic participants. Through reflection on the process of community engagement, development of research design, implementation of the study, and credibility checking, it is clear that incorporating participatory methods into IPA increases rigor and ensures that autistic perspectives are represented through research. [ABSTRACT FROM AUTHOR]