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. Author manuscript; available in PMC: 2023 Jun 1.
Published in final edited form as: Clin Psychol Rev. 2022 Apr 22;94:102158. doi: 10.1016/j.cpr.2022.102158

Table 1.

Literature review results.

Article Follow-up n Population Age Measure of SIB Main Findings

Schroeder et al., 1978 3 yrs.
(1973,1975, 1976)
208 Individuals with intellectual disabilities institutionalized 5–85 yrs. (M = 22) Survey completed by social workers and health care professionals Cross-sectional analyses showed that individuals with SIB had more impairments in vision, receptive language, expressive language, and more prevalent among the younger, and the severely impaired who had been institutionalized longer.
Kiernan & Alborz, 1996 5 yrs.
(1988–1993)
34 Adults with learning disabilities living at home with caregivers 25–37 yrs Caregiver report (semistructured interview) At both time points, SIB was correlated with poorer expressive and receptive language and at T2 with poorer mobility and self-help skills.
Murphy et al., 1999 4–24 mos (M = 16.88 mo. in 3–6 mo intervals) 27 Children with severe intellectual disabilities 2.6–10.11 yrs.
(M = 5.27)
Teacher concern scale, and direct observation Matched comparison group used with no potential SIB at T1.
Developmental age and mobility were correlated with percentage duration of SIB and regression analyses indicated that increases in SIB were associated with degree of teacher concern at T1.
Emerson et al., 2001a 7 yrs.
(1988–1995)
95 Individuals with Intellectual disabilities with severe SIB at T1 12–65 yrs. (M = 34.7) Individual Schedule of the Challenging Behavior Survey (Alborz et al., 1994) completed by staff members SIB to head, stability of SIB at T1, and younger age predicted SIB at T2 in a logistic regression analysis (stepwise). Relative risk between predictors and SIB persistence at follow up were also calculated.
Emerson et al., 2001b 7 yrs.
(1988–1995)
679 T1 (1988) & 245 T2 (1995) Individuals with Intellectual disabilities 5–85 yrs Same as above Logistic regression analyses (stepwise) conducted at each time point indicated that poorer communication skills, more stereotyped behavior and, restricted mobility were associated with SIB at T1 and less self-care skills were associated with SIB at T2.
Nøttestad & Linaker, 2001 8 yrs.
(1987–1995)
68 Adults with Intellectual disabilities without SIB who developed SIB after deinstitutionalization 25–75 yrs. (M = 48.6) Caregiver report Severe ID, epilepsy, mobility impairment, hearing impairment, personal care skills, and less communication associated with SIB.
Berkson et al., 2001 1–3 yrs 39 Children with developmental disabilities 3–40 mos Video sampling, clinical and parent report Incidence estimates reported for SIB = 1.3%; proto-injurious =2.2%, transient SIB = 2.6%
Berkson, 2002 1–3 yrs 39 Children with developmental disabilities 3–40 mos Same as above Descriptive analysis of age trends
Hall, Oliver, & Murphy, 2001 12–24 mos (M = 17.67 mos) 16 Children with severe intellectual disabilities 2.6–10.11 yrs.
(M = 5.27)
Direct observations An association with SIB and low levels of social contact over time for the 4 children whose SIB increased.
Baghdadli et al., 2003 Retrospective 222 Children with autistic disorders 2–7 yrs. (M = 5) Questionnaire completed by care staff members Logistic regression analysis indicated that children who had a higher severity of autism, daily living skills delay, a perinatal condition and a lower age were more likely to have SIB.
Oliver, Hall, & Murphy, 2005 2- yrs 16 Children with severe intellectual disabilities; 6 with genetic disorders (Fragile X, Sturge- Weber, Cornelia de Lange, Seckel syndrome, Trisomy Q) 2.6–10.11 yrs.
(M = 5.27)
Direct observations Linear growth models indicated that increases in SIB were correlated with social contact
Richman & Lindauer, 2005 2–23 months (M = 12 mos) 12 Children with Developmental delay; 11 with genetic disorders (Lissenchaphaly, Trisomy 13, Cerebral palsy, Angelman, Cri du Chat, Smith-Magenis, Williams) 14–32 mos Repetitive Behavior Scale (Bodfish, Symons, & Lewis, 1999);
Functional Analysis
Topography and functional analysis pattern remained the same, but some forms eventually caused tissue damage for 5 participants; protoinjurious behavior a possible risk factor.
Chadwick et al., 2005 4.05–6.10 yrs.
(M = 5.04 yrs)
(1997–2002)
82 Adolescents with Severe intellectual disabilities 11–17 yrs. at T2
(M = 13.06)
Disability Assessment
Schedule (Holmes et al., 1982; Wing, 1989)
48% of the sample persisted in engaging in SIB at T1 and T2.
Chadwick et al., 2008 Same as above 82 Adolescents with severe intellectual disabilities Same as above Same as above Logistic regression found significant associations between adaptive behavior, communication ability, daily living skills, limited language use, expressed parental criticism and SIB.
Baghdadli et al., 2008 3 yrs. 185 Children with PDD-NOS 5–10 yrs. at T2
(M = 8)
Adapted International Classification of Individual
Handicaps scoring system (Badley, 1993) Schedule of the Challenging Behavior
Logistic regression (stepwise) indicated that autism severity and lower speech level predicted SIB at T2.
Totsika et al., 2008 11 yrs.
(1992–2003)
58 Adults with severe intellectual disabilities 23–83 yrs. (M = 45) Survey (Alborz et al.,1994) Younger age and less social skills were associated with persistent SIB.
Cooper et al., 2009 2 yrs.
(2002–2004; 2004–2006)
651 at
follow up
Adults with intellectual disabilities 16 yrs. & older Diagnostic Criteria for Psychiatric Disorders (DC-LD) Logistic regression (stepwise) indicated that comorbid ADHD, visual impairment, lower functioning, not having down syndrome, and living in a residential facility were strongly associated with SIB at T1.
Taylor et al., 2011 18 yrs 49 Adults with severe intellectual disabilities 24–82 yrs Caregiver report Persistence estimates indicated that 84% of the sample continued to engage in SIB at T2. SIB topographies reported as well
Medeiros et al., 2013 12 mos 160 Children with or at risk for-developmental delays 4–44 mos at T1 Behavior Problems Inventory (BPI-0; Rojahn et al., 2001) Structural equation modeling results suggested that the frequency of SIB was a strong indicator of later SIB frequency and severity.
Schroeder et al., 2014 T2: 6 mos; T3: 12 mos 180 Young children at risk for intellectual and developmental disabilities; 5 with genetic conditions (Joubert, West, Moebius, Russell Silver) 4–48 mos Behavior Problems Inventory (BPI-0; Rojahn et al., 2001) General linear mixed model results indicated that SIB had a significant time effect, (significant mean differences between T1 and T3).
Rojahn et al., 2015 Same as above 160 Same as above 4–44 mos at T1 Behavior Problems Inventory (BPI-0; Rojahn et al., 2001) Latent growth modeling indicated the best fitting model consisted of stereotypy predicting SIB.
Rattaz, Michelon, & Baghdadli, 2015 T2: 3 yrs.; T3: 10 yrs 152 Children with autism spectrum disorder 5–15 yrs Aberrant Behavior Checklist (Aman et al., 1985) Logistic regressions indicated severity of autism at T1 significantly increased the risk of SIB at T3.
Davies & Oliver, 2016 T2: 15–18 mos 417 Children with severe intellectual disability 2–12 (M = 7.33) yrs. at T1, 4–14 (M = 8.56) yrs. at T2 Self-injury, aggression and destruction screening questionnaire (SAD-SQ; Davies & Oliver, 2016) Relative risk estimates indicated that presence of repetitive and restricted behaviors and interests at T1 significantly predicted the presence of SIB at follow up.
Richards et al., 2016 T2: 3 yrs 67 Individuals with autism spectrum disorder Mdn age = 13.5 yrs. (10–17 yrs) Challenging Behavior Questionnaire (CBQ; Hyman, Oliver, & Hall, 2002) 77.8% persisted with SIB at T2. Impulsivity and deficits in social interaction at T1 were associated with persistence of SIB over 3 years.
Dimian et al., 2017 12 mos 235 Young children at familial risk for autism spectrum disorder 12–24 mos Repetitive Behavior Scale Revised (Bodfish, Symons, & Lewis, 1999) Logistic regression analysis indicated that children who had SIB and lower intellectual functioning at 12 months were more likely to have SIB at 24 mos.
Gulsrud et al., 2018 Retrospective 144 Individuals with autism spectrum disorder 2.5–60.1 yrs Autism Diagnostic Interview- Revised (Rutter et al., 2003) One way ANOVA indicated that age at crawling and age at bladder and bowel control milestones were associated with SIB presence.
Crawford et al., 2019 T2: 3–4 yrs.T3: 5–6 yrs 79 Individuals with Fragile X 6–54 yrs. Challenging Behavior Questionnaire (Hyman et al., 2002) Binary logistic regression indicated that restricted, repetitive, stereotyped behavior predicted persistent SIB.
Laverty et al., 2020 T2: 3 yrs.T3: 7 yrs 67 Individuals with autism spectrum disorder M = 23.9 yrs. at T3 Challenging Behavior Questionnaire (Hyman et al., 2002) LASSO analysis results showed that impulsivity, interest/pleasure, stereotypy, social communication and adaptive functioning predicted SIB 10 years later.