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24-01-2018 | S.I. : Autism Inpatient Collection - Studying the Severely Affected | Uitgave 11/2018

Journal of Autism and Developmental Disorders 11/2018

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

Tijdschrift:
Journal of Autism and Developmental Disorders > Uitgave 11/2018
Auteurs:
Benjamin L. Handen, Carla A. Mazefsky, Robin L. Gabriels, Kahsi A. Pedersen, Meredith Wallace, Matthew Siegel, The Autism and Developmental Disorders Inpatient Research Collaborative (ADDIRC)

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.

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