OBJECTIVE: The aim of this study was to examine whether there is a difference in the occurrence of risk factors in children diagnosed with speech-language development considering their early psychomotor development. We also compared the presence of additional psychological difficulties. STUDY STRUCTURE: The study is organized as a cross-sectional study with historical data. PARTICIPANTS AND METHODS: The study included 100 children examined for slow speech-language development from 2009 to 2019 at the Paediatric Department of the General County Hospital Požega. The study used medical documentation to extract data on age, sex, family history, perinatal factors, early neurocognitive development, other cognitive abnormalities, neurodevelopmental abnormalities, associated diseases, and electroencephalogram and psychologist findings for the analysis. RESULTS: The median age for diagnosing the problem in children with normal early psychomotor development was 64 months, while the median was 40 months in children with a delay in at least one developmental component. The problem is more commonly diagnosed in male children. A quarter of patients had comorbidities of neurological origin. In one third of the patients, a deviation in the neurological status was found, of which fine motor disorder (20%) was most common. 18% of patients had abnormalities in the EEG findings, and 49% of them had a positive psychologist's findings. CONCLUSION: Speech-language impairment is detected earlier in children with slightly later developed components of early psychomotor development. The problem mainly affects male children, it occurs individually, but also as a part of other neurological diseases. Deviations in neurological status most often occur in the form of fine motor disorders.