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J Autism Dev Disord. 2018 Nov;48(11):3678-3688. doi: 10.1007/s10803-017-3460-2.

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

Author information

1
Department of Psychiatry, University of Pittsburgh, 3811 O'Hara Street, Pittsburgh, PA, 15213, USA. handenbl@upmc.edu.
2
Department of Psychiatry, University of Pittsburgh, 3811 O'Hara Street, Pittsburgh, PA, 15213, USA.
3
Children's Hospital of Colorado, 13123 E 16th Ave., Aurora, CO, 80045, USA.
4
Tufts University School of Medicine, 236 Gannett Drive, South Portland, ME, 04106, USA.

Abstract

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.

KEYWORDS:

Autism Inpatient Collection (AIC); Autism Spectrum Disorder (ASD); Psychiatric hospitalization; Self-injurious behavior (SIB)

PMID:
29368233
PMCID:
PMC6057836
[Available on 2019-11-01]
DOI:
10.1007/s10803-017-3460-2

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