I've always wondered if I'm autistic, I guess I'll still wonder since this isn't official
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I can see some people still don't get how this works.
This is a
screening test. This test, given anywhere, by anyone, would be identical, if you take it online, or in a psychologist's office. It's like using the MMSE (Mini-Mental Status Exam) to screen someone for dementia. As long as you are using the clinical version of the test, and not made up nonsense, it is a proper screening test that can be done by anyone, anywhere, as long as they follow the directions on how it should be done. The ASQ I linked in the clinical version, it is not random crap someone made up. It is a clinically validated screening tool for adult autism (which means they have actually studied the test and shown that it is not random crap and is capable of screening for the disorder it was designed for successfully).
Screening tests are
NOT diagnostic, meaning it can't tell you if you have a specific disorder or disease, it can only say there is a chance, and if you want to find out more, you need to proceed to official diagnostic testing. You need a
diagnostic test or tests to determine if you have a given disease or disorder, along with proper interpretation by a clinician in that field.
Screening tests, by intentional design, are highly sensitive, but not very specific. This means that they cast a wide net to include as many people as possible that may have this disorder, but they aren't designed to be particularly good at determining if something else may be causing the test to come back as positive. This is by the nature of the test. You want a screening test to miss as few people that actually have a given disorder as possible because usually when someone is determined to be negative according to a screening test, subsequent diagnostic testing isn't done since the screening test, if reliable, should indicate that you would be wasting your time pursuing it further.
If someone is positive according to a screening test, that would be seen as a good reason to potentially pursue further diagnostic testing to determine if the screening test was a true positive. Diagnostic testing is meant to be very sensitive and specific so one can be confident in the final diagnosis. If something is sensitive, AND specific then that means it should catch all the people that have that disorder or disease, but it also won't include anyone that doesn't have that disorder or disease as a result of something called confounding. If you can be sure a test is going to catch all the positives, and exclude all the negatives, that is a diagnostic test you can trust to give you a good result and for the basis of a true diagnosis.
Now, I am sure some of you are thinking "Well, if a diagnostic test can tell me for sure if I have a disorder or disease, why not just do that?" The reason for this is that screening tests are quick, easy, and cheap to implement. As with the ASQ I linked, it is a very simple test that is easy to understand and is considered a good way to determine without much or any expense if someone should potentially pursue further diagnostic testing. Diagnostic testing, on the other hand, tends to be more time consuming, more expensive, more difficult to get, and is more complicated. Performing a diagnostic test on every possible case would be a waste of effort, money, and time for all the negative results that could have easily been found by a screening test. That's why screening tests are developed and used.
So, in conclusion, this test isn't meant to tell you if you are autistic, it is meant to tell you that you
MAY be autistic, and you may want to take the results you got and pursue diagnostic testing to see if you are truly autistic. If the screening test is confirmed, then you may find that there are things available to you that can help you with difficulties you've always had, but never understood they originated from an actual medical disorder. A medical disorder that has treatment that can help you navigate life with less difficulty.