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

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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

DOI 10.1007/s10803-012-1497-9

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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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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.
ORCID: Duerden, Emma G.
Taylor, Margot J.
Venue: Journal of Autism and Developmental Disorders
Publisher: Springer Science and Business Media LLC
Published: 2012-03-16
Volume: 42
Issue: 11
Pages: 2460-2470
ISSN: 0162-3257 (ISSN-L)
1573-3432
DOI: 10.1007/s10803-012-1497-9
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
Licence: www.springer.com/tdm (tdm)
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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Risk Factors Associated with Self-Injurious Behaviors in Children and Adolescents with Autism Spectrum Disorders

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