Research summaries for autism therapy: self injury

definition of self injury: Behavior or action that results in harm to oneself. Examples of self-injurious behavior include biting, head banging, and cutting.

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Applied behavior analysis (ABA) may be helpful in decreasing self-injurious skin picking in people with autism.

Differential reinforcement of other behavior (DRO) is an ABA technique that involves a reward if the child does not do the behavior in question (in this case skin picking) during a certain period of time. The purpose of this case study was to see if DRO could help to reduce skin picking of a 19-year-old young man who had been diagnosed with Asperger syndrome. At the start of the study, the young man engaged in skin picking 56.3% of the time during sessions. He was able to decrease his skin picking and he was able to do so when he was being watched by a therapist and when he was alone. Read more...

Using a computer to keep track of academic success may help reduce self-injury and other unwanted behaviors in children with autism.

This case study described success for one adolescent (13 years old) with Asperger’s syndrome who used a computer as positive reinforcement. The boy kept a record of his own success at completing school tasks. The boy completed more tasks and had less self-injury behavior and fewer tantrums during the weeks that he used the computer system. When researchers stopped his use of the system, he again had tantrums, self-injury, and trouble completing tasks. The authors said that this system is a promising way to offer some independence and would be relatively easy to use in classrooms.

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Self-injury behaviors in children with autism may be more intense in children with severe intellectual disability than in other children with autism.

This study asked whether self injury, aggressive, and stereotypy behaviors were more common in some groups of children with autism than others. The researchers tested age, gender, therapy interventions, and intellectual disabilities. Age and gender were not a factor. Children getting applied behavior analysis therapy (ABA) had aggressive behaviors more often than other children, but the authors think that might be because children with behavioral problems are more likely to get therapy. Children with severe intellectual disabilities had more intense self-injury behaviors than other children with autism.

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Aripiprazole (Abilify®) may be helpful for children and adolescents with autism who have severe behavioral problems.

This article describes a study of 34 autism patients (4-15 years old) who had severe behavioral problems such as aggression, self injury, and hyperactivity. These patients were treated through a psychiatric hospital (inpatient or outpatient) because of their severe behavioral problems. Patients were treated with 3-13 mg/day of aripiprazole for at least 12 weeks. The authors tested skills and behaviors between 4-12 months after the start of treatment. Of all the patients in the study, 37% were much improved or very much improved, and 29% had no change or got worse. Side effects were agitation (27% of patients) and sleep problems (15% of patients). Read more...


Synonyms for self injury include: self injurious, self injurious behavior, self injurious behaviour, self injury, self-injurious, self-injurious behavior, self-injurious behaviour, self-injury
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