Factors Associated with Self-Injurious Behaviors in Children with Autism Spectrum Disorder: Findings from Two Large National Samples

G. N. Soke, S. A. Rosenberg, R. F. Hamman, T. Fingerlin, C. R. Rosenberg, L. Carpenter, Li-Ching Lee, E. Giarelli, L. D. Wiggins, M. S. Durkin, A. Reynolds, C. DiGuiseppi

Research output: Contribution to journalArticle


In this study, we explored potential associations among self-injurious behaviors (SIB) and a diverse group of protective and risk factors in children with autism spectrum disorder from two databases: Autism and Developmental Disabilities Monitoring (ADDM) Network and the Autism Speaks-Autism Treatment Network (AS-ATN). The presence of SIB was determined from children’s records in ADDM and a parent questionnaire in AS-ATN. We used multiple imputation to account for missing data and a non-linear mixed model with site as a random effect to test for associations. Despite differences between the two databases, similar associations were found; SIB were associated with developmental, behavioral, and somatic factors. Implications of these findings are discussed in relation to possible etiology, future longitudinal studies, and clinical practice.

Original languageEnglish (US)
Pages (from-to)285-296
Number of pages12
JournalJournal of Autism and Developmental Disorders
Issue number2
Publication statusPublished - Feb 1 2017
Externally publishedYes



  • Autism
  • Autism spectrum disorder
  • Challenging behaviors
  • Children
  • Maladaptive behaviors
  • Self-injurious behaviors

ASJC Scopus subject areas

  • Developmental and Educational Psychology

Cite this