Risk Factors for Self-injurious Behavior in an Inpatient Psychiatric Sample of Children with Autism Spectrum Disorder: A Naturalistic Observation Study

• Main Authors: Benevides, J. (Author), Beresford, C. (Author), Best, C. (Author), Bowen, K. (Author), Dechant, B. (Author), Dixon, J. (Author), Erickson, C. (Author), Flis, T. (Author), Gabriels, R.L (Author), Gastgeb, H. (Author), Geer, A. (Author), Hagopian, L. (Author), Handen, B. (Author), Handen, B.L (Author), Kaplan, D. (Author), Kasari, C. (Author), King, B. (Author), Klever, A. (Author), Lubetsky, M. (Author), MacKenzie, K. (Author), Mazefsky, C.A (Author), McCracken, J. (Author), McDougle, C. (Author), McGonigle, J. (Author), McGuire, K. (Author), McNeill, F. (Author), Meservy, Z. (Author), Morrow, E.M (Author), Pedapati, E. (Author), Pedersen, K.A (Author), Peura, C. (Author), Pierri, J. (Author), Righi, G. (Author), Robinson, G. (Author), Rogers, C. (Author), Rossman, B. (Author), Ruberg, J. (Author), Santangelo, S.L (Author), Scahill, L. (Author), Schultz, R. (Author), Siegel, M. (Author), Small, C. (Author), St. Germain, D.L (Author), Stuckey, N. (Author), Tager-Flusberg, H. (Author), The Autism and Developmental Disorders Inpatient Research Collaborative (ADDIRC) (Author), Tylenda, B. (Author), Verdi, M. (Author), Vezzoli, J. (Author), Wallace, M. (Author), Williams, D. (Author), Wink, L. (Author)
• Format: Article
• Language: English
• Published: Springer New York LLC 2018
• Subjects: adaptive behavior; adolescent; Adolescent; adolescent behavior; adult; age; Article; autism; Autism Inpatient Collection (AIC); Autism Spectrum Disorder; Autism Spectrum Disorder (ASD); automutilation; behavior disorder; child; Child; child behavior; Child, Preschool; complication; compulsion; disease severity; female; Female; hospital; hospital patient; hospitalization; Hospitalization; Hospitals, Pediatric; Hospitals, Psychiatric; human; Humans; Inpatients; intelligence quotient; major clinical study; male; Male; mental hospital; observational study; preschool child; priority journal; Psychiatric hospitalization; psychology; questionnaire; risk factor; Self-Injurious Behavior; Self-injurious behavior (SIB); social status; statistics and numerical data; Surveys and Questionnaires; young adult; Young Adult
• Online Access: View Fulltext in Publisher
• ISBN: 01623257 (ISSN)
• DOI: 10.1007/s10803-017-3460-2

Limited information about self-injurious behavior (SIB) is known for children and adolescents with Autism Spectrum Disorder (ASD) who require intensive behavioral health interventions. We examined risk-factors for SIB in 302 individuals with ASD (ages 4–20) admitted to six specialized psychiatric inpatient units. Seventy-four percent were reported by a caregiver to display SIB, however, only 25% were observed to engage in daily SIB during hospitalization. Those exhibiting SIB across environments had significantly higher ratings on caregiver questionnaires of SIB severity. Tree-structured classification was used to develop and validate two predictive models, one indicating which inpatient youth with ASD are likely to have SIB and a second indicating which individuals with SIB at home are likely to continue in an inpatient setting. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.