We designed an auto organizational menu (AOM) to help children with autism spectrum disorders (ASDs) improve their operational communication ability and make it easier for them to ask for help. A speech-generating device (SGD) with a variety of AOM designs was tested on four children with ASD, and their improvements were assessed to compare the effects of the AOM intervention strategy. A multiple baseline design and withdrawal design were used. The assessment items included: (1) the rate of correct answers for operational communication; (2) the accuracy rate of asking for help; (3) the degree of independent completion. The proposed AOM intervention effectively increased the participants' desire to communicate with others and the accuracy rate of asking for help, improved their involvement in communication, distance, and continuity. The proposed AOM helps children with ASD build sentences by themselves, helps them organize communication with their peers, and helps them ask requesting for help.