A Community Survey of Self-Injurious Behavior Among Developmentally Disabled Children and Adolescents

Griffin, James C.; Ricketts, Robert W.; Williams, David E.; Locke, Bill J.; Altmeyer, Bernd K.; Stark, Mary T.

doi:10.1176/ps.38.9.959

Cited by 22 publications

(16 citation statements)

References 5 publications

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“…Considered in total, the 261 persons identified as aggressive in this study shared certain characteristics with samples of persons who exhibit self-injurious behaviours (Griffin et al 1986(Griffin et al , 1987Oliver et al 1987;Schroeder et al 1978). Specifically, a higher percentage were described as functioning in the severe/profound range of intellectual disability, with many having accompanying deficits in speech.…”

Section: Discussionmentioning

confidence: 68%

“…Lower prevalence rates (e.g. 2%-15%) have been reported among persons with intellectual disability in community-based facilities or schools (Griffin et al 1987;Oliver et al 1987;Schroeder 1991). However, self-injury appears more prevalent in both populations among children, adolescents and young adults who have limited speech, display autistic-like behaviours and function in the severe to profound range of intellectual disability (Griffin ei a/.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A survey of aggressive behaviour among a population of persons with intellectual disability in Queensland

Sigafoos¹,

Elkins²,

Kerr³

et al. 1994

J intellect Disabil Res

110

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ABSTRACT. Asurvey was conducted on aggressive behaviour within a population of 2412 persons with intellectual disability in Queensland, Australia. Two hundred and sixty‐one individuals were identified who engaged in at least one form of aggressive behaviour, yielding an overall prevalence of 11 %. The relative prevalence of aggressive behaviour was higher among institutionalized persons (35%) when compared to those living in group homes (17%) or other community‐based facilities (3%). The aggressive behaviour sample included a higher percentage of males (64%). Most were described as functioning in the severe/profound (54%) or moderate (31%) range of intellectual disability with one‐third having no intelligible speech. Two‐thirds of the sample received medication for their challenging behaviour, while only one‐third had behavioural programmes. Eighty per cent engaged in three or more forms of aggression. Many also displayed self‐injury (34%) or properly destruction (30%). Surveys of aggressive behaviour may prove useful for coordinating services.

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Section: Discussionmentioning

confidence: 68%

Section: Introductionmentioning

confidence: 99%

A survey of aggressive behaviour among a population of persons with intellectual disability in Queensland

Sigafoos¹,

Elkins²,

Kerr³

et al. 1994

J intellect Disabil Res

110

View full text Add to dashboard Cite

show abstract

“…More empirical evaluations of restraint safety should be done. In long-term residential facilities and in the homes of families, providers, and in schools in the community, there are children and adults with intellectual disabilities who exhibit severe and harmful self-injurious and ⁄ or aggressive behaviour (Gorman-Smith & Matson 1985;Griffin et al 1986Griffin et al , 1987Rojahn & Esbensen 2002) that requires immediate intervention and protection that is serious to the point of causing injuries (Spreat & Baker-Potts 1983). Professionals and administrators in agencies serving people with severe behaviour disorders should consider evaluating the risks involved in using restraint vs. not using restraint at all when dangerous aggression or self-injury is occurring,.…”

Section: Resultsmentioning

confidence: 99%

Restraint Safety: an Analysis of Injuries Related to Restraint of People with Intellectual Disabilities

Williams

2009

Research Intellect Disabil

Self Cite

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Background There is little research on the safety of the various types of restraint commonly used with individuals with intellectual disabilities who exhibit severely aggressive or self-injurious behaviour. Method This study analysed the use of restraint with 209 individuals with intellectual disabilities over a 12-month period.Results Planned restraint, the use of restraint as a component of a behaviour treatment programme (i.e. planned personal or planned mechanical restraint) was safer than crisis-intervention restraint (emergency personal or emergency mechanical). The overall rate of injuries during restraint was 0.46 injuries per hundred restraints. Restraint was applied 99.54% of the time without injury.Conclusion Restraint was relatively safe and safer than reported in one other study. Planned restraint was safer than emergency restraint. The additional training and programme development associated with planned restraint may have contributed to the greater safety of planned restraint. Due to limited empirical data, restraint safety has yet to be established and this study suggests that restraint should be decreased and closely monitored.

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“…Prevalence rates for children have less often been investigated, but Oliver et al (1987) found that the rate for children in community-based schools for those with severe intellectual disabilities rose from 3% in children under 5 years of age, to 4% for 5±10year-olds, 8% for 10±15-year-olds and 12% for those over 15 years. Low prevalence rates of 3% (Griffin et al 1987) and 5% (Kiernan & Kiernan 1994) have also been found in school populations.…”

Section: Discussionmentioning

confidence: 97%

Identification of early self‐injurious behaviour in young children with intellectual disability

Murphy

Hall

Oliver

et al. 1999

J intellect Disabil Res

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Very little is known about the early stages of self-injurious behaviour (SIB) in young children with developmental disabilities, even though there has been a great deal of research into the prevalence, assessment and treatment of well-established SIB in older individuals. In the present initial study, teachers in special schools for children under II years of age with severe intellectual disability and/or autism were asked to identify children who were beginning to show early self-injury (the index group). These children were then matched to classroom controls (of the same ability level and mobility), and teachers were interviewed about the children's behaviours and skills. The index children showed significantly more potential SIB than the control group children, but there was overlap between the groups in terms of percentage duration of potential SIB, suggesting that teachers do not find it easy to identify children with 'early' SIB. The index children's skills and problem behaviours, their sensory impairments and degree of autism did not differ significantly from those of the control group. When all the children showing any potential SIB were pooled together, it transpired that developmental age and degree of mobility were significantly correlated with percentage duration of SIB, suggesting that these characteristics may be important risk markers. The index children were also observed at 3-month intervals at school over the following 18 months and self-injury clearly escalated for some of the index children, while it did not do so for others. Using regression analysis, increases in SIB were shown to be associated only with the degree of concern expressed about the child's behaviour at time I by the teacher, no other variables predicting increases in SIB.

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A Community Survey of Self-Injurious Behavior Among Developmentally Disabled Children and Adolescents

Cited by 22 publications

References 5 publications

A survey of aggressive behaviour among a population of persons with intellectual disability in Queensland

A survey of aggressive behaviour among a population of persons with intellectual disability in Queensland

Restraint Safety: an Analysis of Injuries Related to Restraint of People with Intellectual Disabilities

Identification of early self‐injurious behaviour in young children with intellectual disability

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