Cited by 198Autism Spectrum Disorder ResearchSuicide and Self-Harm StudiesChild Nutrition and Feeding Issues

Risk Factors Associated with Self-Injurious Behaviors in Children and Adolescents with Autism Spectrum Disorders

Duerden, Emma G., Oatley, Hannah K., Mak-Fan, Kathleen M., McGrath, Patricia A., Taylor, Margot J., Szatmari, Peter, Roberts, S. Wendy·2012·Journal of Autism and Developmental Disorders

Abstract

While self-injurious behaviors (SIB) can cause significant morbidity for children with autism spectrum disorders (ASD), little is known about its associated risk factors. We assessed 7 factors that may influence self-injury in a large cohort of children with ASD: (a) atypical sensory processing; (b) impaired cognitive ability; (c) abnormal functional communication; (d) abnormal social functioning; (e) age; (f) the need for sameness; (g) rituals and compulsions. Half (52.3%, n = 126) of the children (n = 241, aged 2-19 years) demonstrated SIB. Abnormal sensory processing was the strongest single predictor of self-injury followed by sameness, impaired cognitive ability and social functioning. Since atypical sensory processing and sameness have a greater relative impact on SIB, treatment approaches that focus on these factors may be beneficial in reducing self-harm in children with ASD.

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Crossref · 10.1007/s10803-012-1497-9

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  • These self-injurious behaviours appear to differ in nature from NSSI in typically developing populations: they occur in front of others without attempts to disguise them, being most commonly associated with intellectual disability and severe receptive and expressive language deficits.

    “These self-injurious behaviours, which have been the focus of autism research in children and adults [12–14], appear to differ in nature from NSSI in the typically developing populations: they occur in front of others without attempts to disguise them, being most commonly associated with intellectual disability and severe receptive and expressive language deficits.”
  • Sensory differences in autism are associated with ritualistic and repetitive behaviours including self-injury, and are the strongest predictors of self-injury.

    “Importantly, sensory differences in autism are associated with ritualistic and repetitive behaviours including self-injury [49], and are even the strongest predictors of self-injury [13].”
  • Self-injurious behaviour in ASC is conceptualised differently than NSSI in the general population, as primarily a restricted and repetitive behaviour characteristic of ASC.

    “For example, self-injurious behaviour in ASC [34] is conceptualised rather differently than NSSI in the general population, as primarily a restricted and repetitive behaviour characteristic of ASC [35].”

    From Risk markers for suicidality in autistic adults (2018) · cites this paper as [34]

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Authors
Duerden, E. G., Oatley, H. K., Mak-Fan, K. M., McGrath, P. A., Taylor, M. J., Szatmari, P., & Roberts, S. W.
Affiliations
  • Hospital for Sick Children (CA)
  • University of Toronto (CA)
  • Holland Bloorview Kids Rehabilitation Hospital (CA)
Corresponding author
Duerden, Emma G.
Venue
Journal of Autism and Developmental Disorders
Published
2012-03-16
Volume
42
Issue
11
Pages
2460-2470
ISSN
  • 0162-3257 (ISSN-L)
  • 1573-3432
OpenAlex
W2146221612
Cited by
198
References
78
Citations by year
2026: 8 · 2025: 16 · 2024: 11 · 2023: 27 · 2022: 11 · 2021: 18 · 2020: 17 · 2019: 17 · 2018: 14 · 2017: 12 · 2016: 13 · 2015: 9 · 2014: 14 · 2013: 8 · 2012: 3
FWCI
5.57
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Autism and Developmental Disorders (publishedVersion)
  • PubMed (publishedVersion)
Funders
Canadian Institutes of Health Research
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords
self-harm, autism spectrum disorder, risk factors, sensory processing, sameness, cognitive ability, social functioning, functional communication, children and adolescents
MeSH terms
Adolescent, Child, Child Development Disorders, Pervasive, Child, Preschool, Cognition, Female, Humans, Male, Risk Factors, Sensation, Severity of Illness Index, Self-Injurious Behavior, Young Adult, Pain Perception

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