Department of Psychiatry, University of Pittsburgh, 3811 O'Hara Street, Pittsburgh, PA, 15213, USA.
Children's Hospital of Colorado, 13123 E 16th Ave., Aurora, CO, 80045, USA.
J Autism Dev Disord. 2018 Nov;48(11):3678-3688. doi: 10.1007/s10803-017-3460-2.
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.
关于自闭症谱系障碍（ASD）儿童和青少年的自我伤害行为（SIB）的信息有限，他们需要强化的行为健康干预。我们研究了在 6 个专门的精神病住院病房接受治疗的 302 名 ASD 个体（年龄 4-20 岁）的 SIB 风险因素。有 74%的人被照顾者报告有 SIB，但只有 25%的人在住院期间被观察到有每日 SIB。在不同环境中表现出 SIB 的个体，在照顾者 SIB 严重程度问卷上的评分显著更高。树状结构分类被用于开发和验证两个预测模型，一个表示哪些 ASD 住院青少年可能有 SIB，另一个表示哪些在家中有 SIB 的个体可能继续在住院环境中。
