“…Data could also support distinct genetic mechanisms towards psychiatric vulnerability in autism. For example, emerging data suggest there is: (1) an inverse correlation between high‐impact de novo variants and autism polygenic scores—(i.e., genetic contributors to autism seem to include either high polygenic likelihood OR high‐impact rare variants; Antaki et al, 2022; Warrier et al, 2022), (2) there are general effects of autism polygenic scores on psychopathology broadly (i.e., high polygenic scores may increase likelihood for developmental and mental health differences; Kember et al, 2021; Neumann et al, 2022), and (3) that in neuropsychiatric disorders, individuals with inherited genetic risk factors may be more likely to experience socioeconomic/environmental adversity (Ratanatharathorn et al, 2021; Wolstencroft et al, 2022). Together, these findings set the stage for future studies examining the types of psychiatric conditions, service needs, and barriers faced by those with genetic forms of autism, as well as the relative contributions of environmental factors, comorbid medical conditions, and rare/common and inherited/de novo variants, to help anticipate mental health care needs in autistic youth.…”