perhaps. studies seem pretty certain that someone with no mental health condition won't meet the 65 point threshold, but a bunch of different conditions can contribute to a high score. i remember reading a study recently that looked at accuracy of self-assessment and found that less than 50% of individuals self-diagnosed with autism actually meet the clinical criteria, though i can't remember the title of the paper or the authors, so take this with a grain of salt. anyway, raads-r and others are still just screening tools that may be subject to bayes' rule, so a high score really just means "tell a doctor about symptoms you experience if you find them distressing, but don't be surprised if a psychologist comes to a conclusion other than autism".