Persistence and predictors of self-injurious behaviour in autism: a ten- year prospective cohort study.
Laverty, Catherine
Background: Self-injurious behaviours, such as head banging, hair pulling, skin picking and scratching, are common in individuals with autism. Despite high prevalence rates, there is a paucity of longitudinal research to refine models of risk and mechanism and inform service planning. In this longitudinal study, we investigated self-injury in a cohort of individuals with autism over 10 years to identify behavioural and demographic characteristics associated with persistent self-injury. Methods: Carers of 67 individuals with autism completed questionnaires relating to the presence of self-injury and relevant risk markers at T1 (mean [SD] age in years 13.4 [7.7]) and T3 (mean [SD] age in years 23.9 [7.7]) 10 years later. Forty-six of these also took part at T2 (3 years after initial participation). Analysis assessed demographic and behavioural risk markers for self-injury, as well as the predictive value of items assessed at T1and T2. Results: Self-injury was persistent in 44% of individuals over the 10-year period, with behavioural characteristics of impulsivity (p < .001) and overactivity (p = .002), identified as risk markers for persistence. A predictive model of self-injury was derived from LASSO analysis, with baseline impulsivity, interest and pleasure, stereotyped behaviour, social communication and adaptive functioning predicting self-injury over 10 years. Conclusions: In this unique longitudinal investigation into the persistence of self-injury in a non- clinical sample of individuals with autism over a 10 year period, we have identified a novel, robust and stable profile of behavioural characteristics associated with persistent self-injury. Findings support an early intervention strategy targeted towards individuals identified to be at a higher risk of developing self-injurious behaviour.
Additional Details
Contributors: Oliver, Chris, Moss, Jo, Nelson, Lisa, Richards, Caroline
Identifier: 7384bdb2-1442-42c5-92cf-99d4d5d1cb86
Text EnglishAdditional Information
Relation: 2040-2392
Rights: The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License. https://www.researchgate.net/deref/https%3A%2F%2Fcreativecommons.org%2Flicenses%2Fby%2F4.0%2F
Bibliographic Citation: Mol Autism. 2020 Jan 20;11(1):8. doi: 10.1186/s13229-019-0307-z.
Format: text/html