Self-injurious behaviour in people with intellectual disability and autism spectrum disorder

Oliver, Chris; Licence, Lucy; Richards, Caroline

doi:10.1097/yco.0000000000000313

Cited by 36 publications

(30 citation statements)

References 26 publications

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“…Self-harm has rarely been compared directly in children of typical development with those who have a disability [20]. In China, a study of DSH in children with different types and severity of disabilities has not previously been reported.…”

Section: Discussionmentioning

confidence: 99%

Deliberate Self-Harm Among Chinese Children with Different Types and Severity of Disabilities

Zhu

Abudusaimaiti

Xiang

et al. 2019

IJERPH

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Background: The aims of this study were to determine the prevalence of deliberate self-harm (DSH) and to compare the risk of self-harm in Chinese children with different types and severity of disabilities. Methods: Participants were 1300 children aged 6–17 years in Beijing, China; 650 children with disabilities and 650 healthy peers matched on age, gender and residence district. Questionnaires were completed anonymously by parents or children if the age or disability made it necessary. The associations between the disability type, severity and DSH were examined using the Chi-square testing and logistic regression models. Results: Children with a single disability or multiple disabilities had statistically higher rates of DSH than children without disabilities (15.6% and 39.7% compared to 10.9%). The prevalence of DSH was associated with the severity of disability, being 36.2% among children with level 1 (the most severe) disability, 19.8% among children with level 2 disability, and 9.2% among children with level 3 + 4 disability. The multivariable odds ratio (OR) of DSH among children with any disability was statistically higher than that among children without a disability (OR = 2.40; 95% CI = 1.71, 3.36; p < 0.05). Children with multiple disabilities (OR = 6.89; 95% CI: 4.24–11.20) and level 1 severity of disability (OR = 6.11; 95% CI: 3.91–9.56) had the highest risk of DSH. Conclusions: This study clearly demonstrated associations between the severity and type of disability and DSH. This finding highlights the importance of DSH in children with disabilities, and underlines the importance of the prevention of DSH among a vulnerable pediatric population in China.

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Section: Discussionmentioning

confidence: 99%

Deliberate Self-Harm Among Chinese Children with Different Types and Severity of Disabilities

Zhu

Abudusaimaiti

Xiang

et al. 2019

IJERPH

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“…Self-injurious behavior (SIB) occurs regularly in patients with ASD and includes behaviors such as self-hitting, punching, biting, scratching and kicking. SIB can lead to significant injury to soft tissue, bone, head trauma, retinal detachment, blindness or even death [29]. Often SIB is under operant conditioning [26], however, sudden increases of SIB may sometimes be a part of the constellation of stereotypical behaviors seen in catatonia.…”

Section: Clinical Presentations Of Catatoniamentioning

confidence: 99%

“…Самоповреждающее поведение (СПП) регулярно встречается у пациентов с РАС и включает такие виды поведения как битье себя, удары кулаками, укусы, царапание и пинки. СПП может привести к значительным травмам мягких тканей, костей, травмам головы, отслойке сетчатки, слепоте или даже смерти [29]. Часто в основе СПП лежит оперантное обусловливание [26], однако внезапное усиление СПП иногда может быть частью общего стереотипного поведения, наблюдаемого при кататонии.…”

Section: Introductionunclassified

Сatatonia in Autism Spectrum Disorders: Diagnosis, Therapy and Clinical Science

Dhossche

2019

Autism and Developmental Disorders

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Catatonia has been increasingly recognized as a comorbid syndrome of autism at a rate of 12-17% in adolescents and young adults with autism spectrum disorders. Symptoms that should alert the clinician for catatonia are markedly increased psychomotor slowness which may alternate with excessive motor activity, apparently purposeless, and not influenced by external stimuli, extreme negativism or muteness, stereotypy, peculiarities of voluntary movement, increased stereotypies with or without self-injury, echolalia, or echopraxia. Upsetting life events, the loss of routine and structure, experiences of loss, conflicts with parents, caregivers, or peers, and discrepancies between the ability in the patient and parental expectations-especially, in higher functioning autistic youth, are known to precipitate catatonia as well as medical and neurological illnesses. Lacking controlled trials, successful use of benzodiazepines, sometimes at high dosages, and electroconvulsive therapy for catatonia in autism is supported by case-reports and case-series. Electroconvulsive therapy is indicated for the treatment of catatonia when lorazepam does not bring about rapid relief. Maintenance electroconvulsive therapy is important for sustained symptom remission in some cases. There is an urgent need for prospective studies of catatonia in autism spectrum disorders and for controlled treatment trials.

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“…In addition to describing the frequency, severity, and duration of SIB, it is important to identify the determinants of SIB to help guide timely assessments and interventions [ 39 ]. Risk factors include individual characteristics and aspects of the physical and social environment.…”

Section: Self-injurious Behavior (Sib)mentioning

confidence: 99%

Self-Injury in Autism Spectrum Disorder and Intellectual Disability: Exploring the Role of Reactivity to Pain and Sensory Input

et al. 2017

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This paper provides information about the prevalence and topography of self-injurious behavior in children and adults with autism spectrum disorder and intellectual disability. Dominant models regarding the etiology of self-injury in this population are reviewed, with a focus on the role of reactivity to pain and sensory input. Neuroimaging studies are presented and suggestions are offered for future research.

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Self-injurious behaviour in people with intellectual disability and autism spectrum disorder

Cited by 36 publications

References 26 publications

Deliberate Self-Harm Among Chinese Children with Different Types and Severity of Disabilities

Deliberate Self-Harm Among Chinese Children with Different Types and Severity of Disabilities

Сatatonia in Autism Spectrum Disorders: Diagnosis, Therapy and Clinical Science

Self-Injury in Autism Spectrum Disorder and Intellectual Disability: Exploring the Role of Reactivity to Pain and Sensory Input

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