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Related Experiment Videos

Intentional Self Harm in Children with Autism.

Prahbhjot Malhi1, Naveen Sankhyan2

  • 1Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India. pmalhi18@hotmail.com.

Indian Journal of Pediatrics
|June 28, 2020
PubMed
Summary
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Self-injurious behaviors (SIBs) affect 22.1% of children with autism spectrum disorder (ASD). Increased autism severity is the primary predictor of SIBs, highlighting the need for early intervention in ASD care.

Area of Science:

  • Neurodevelopmental Disorders
  • Child Psychology
  • Clinical Psychiatry

Background:

  • Self-injurious behaviors (SIBs) are a significant concern in children with autism spectrum disorder (ASD).
  • Understanding the correlates of SIBs is crucial for developing effective interventions.
  • Previous research indicates various factors may be associated with SIBs in this population.

Purpose of the Study:

  • To investigate the demographic, socioeconomic, and clinical factors associated with SIBs in a large clinical sample of children with ASD.
  • To identify significant predictors of SIBs in children diagnosed with ASD.

Main Methods:

  • A retrospective case record review was conducted on 1252 children with ASD.
  • Data collected included socioeconomic background variables and the presence or absence of SIBs.
Keywords:
Autism spectrum disordersClinical characteristicsIntentional self harm

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  • Statistical analyses, including logistic regression, were used to identify correlates and predictors.

    • Main Results:

    • The overall prevalence of SIBs was 22.1%, with head banging and self-hitting being the most common.
    • Factors significantly associated with SIBs included age at diagnosis, maternal education, co-morbid medical conditions, intellectual disability, sensory processing abnormalities, and autism severity.
    • Logistic regression identified severity of autism as the sole significant predictor of SIBs.

    Conclusions:

    • The severity of autism is a key predictor of self-injurious behaviors in children with ASD.
    • These findings underscore the importance of early identification and intervention for SIBs in children with autism spectrum disorder.
    • Addressing SIBs is critical due to their association with significant morbidity.