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Paper · arXiv

Detecting Agitation Before Behavioral Escalation in Autistic Youth Through Multimodal Wearable Sensing

Challenging behaviors including aggression, self-injury, and property destruction are observed in 68% of autistic youth and pose risks to youth and caregivers. These episodes are preceded by agitation, a rising state of distress expressed through movement, vocalization, and autonomic arousal. Its signs are subtle and individualized, and its autonomic components are invisible without instrumentation. We collected upper-body movement from inertial measurement units, physiology from a wrist-worn device, and vocalizations from lapel microphones across 30 clinician-led sessions with 15 autistic youth, paired with expert behavioral annotations. We adapt four pretrained foundation models, one pe...

AuthorsNibraas Khan, Abigale Plunk, John Staubitz et al.
Primary categorycs.HC
Published21 September 2026
Last updated at source25 September 2026
cs.HCcs.LG
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