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The Prevalence of Self-injurious Behaviour in Autism: A Meta-analytic Study.


ABSTRACT: Self-injurious behaviour is purportedly common in autism, but prevalence rates have not yet been synthesised meta-analytically. In the present study, data from 14,379 participants in thirty-seven papers were analysed to generate a pooled prevalence estimate of self-injury in autism of 42% (confidence intervals 0.38-0.47). Hand-hitting topography was the most common form of self-injury (23%), self-cutting topography the least common (3%). Sub-group analyses revealed no association between study quality, participant intellectual disability or age and overall prevalence rate of self-injury. However, females obtained higher prevalence rates than males (p?=?.013) and hair pulling and self-scratching were associated with intellectual disability (p?=?.008 and p?=?.002, respectively). The results confirm very high rates of self-injury in autism and highlight within group risk-markers.

SUBMITTER: Steenfeldt-Kristensen C 

PROVIDER: S-EPMC7557528 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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The Prevalence of Self-injurious Behaviour in Autism: A Meta-analytic Study.

Steenfeldt-Kristensen Catherine C   Jones Chris A CA   Richards Caroline C  

Journal of autism and developmental disorders 20201101 11


Self-injurious behaviour is purportedly common in autism, but prevalence rates have not yet been synthesised meta-analytically. In the present study, data from 14,379 participants in thirty-seven papers were analysed to generate a pooled prevalence estimate of self-injury in autism of 42% (confidence intervals 0.38-0.47). Hand-hitting topography was the most common form of self-injury (23%), self-cutting topography the least common (3%). Sub-group analyses revealed no association between study q  ...[more]

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