Assessment & Research

A survey of aggressive behaviour among a population of persons with intellectual disability in Queensland.

Sigafoos et al. (1994) · Journal of intellectual disability research : JIDR 1994
★ The Verdict

One in nine adults with ID show aggression, but the risk jumps twelve-fold in big institutions—move clients out and target social or task triggers.

✓ Read this if BCBAs writing risk assessments or placement recommendations for adults with ID.
✗ Skip if Clinicians who only serve children or out-patient clients without ID.

01Research in Context

01

What this study did

A team mailed surveys to every agency that served adults with intellectual disability in Queensland, Australia.

They asked staff to record how many clients had shown any aggressive behaviour in the past year.

In total, 2,412 adults were counted across institutions, group homes and private homes.

02

What they found

Aggression showed up in 11 out of every 100 people.

The setting mattered. Big institutions had the highest rate: 35 in 100.

Group homes sat in the middle at 17 in 100. People living in their own homes had the lowest rate: 3 in 100.

03

How this fits with other research

S-Johnson et al. (2009) followed adults in the UK for two years and saw the same 10% starting point. They added good news: about 27% of those aggressive clients stopped showing aggression within the study period.

Hattier et al. (2011) ran a near-copy survey with 4,000 clients and found the same 10–11% rate, proving the number is solid across countries and time.

Cramm et al. (2009) dug deeper inside one facility and found most outbursts were triggered by social demands or tough tasks, giving staff a clear place to intervene.

04

Why it matters

Use the 11% figure when you write behaviour-plan summaries or justify funding.

Point to the 35% versus 3% gap when you advocate for community placement over large centres.

Pair the number with later remission data to show families that improvement is possible, then teach staff to ease task and social demands to lower the risk further.

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Add ‘setting type’ to your risk checklist and flag any client still living in a large institution for rapid transition planning.

02At a glance

Intervention
not applicable
Design
survey
Sample size
261
Population
intellectual disability
Finding
not reported

03Original abstract

A survey was conducted on aggressive behaviour within a population of 2412 persons with intellectual disability in Queensland, Australia. Two hundred and sixty-one individuals were identified who engaged in at least one form of aggressive behaviour, yielding an overall prevalence of 11%. The relative prevalence of aggressive behaviour was higher among institutionalized persons (35%) when compared to those living in group homes (17%) or other community-based facilities (3%). The aggressive behaviour sample included a higher percentage of males (64%). Most were described as functioning in the severe/profound (54%) or moderate (31%) range of intellectual disability with one-third having no intelligible speech. Two-thirds of the sample received medication for their challenging behaviour, while only one-third had behavioural programmes. Eighty per cent engaged in three or more forms of aggression. Many also displayed self-injury (34%) or property destruction (30%). Surveys of aggressive behaviour may prove useful for coordinating services.

Journal of intellectual disability research : JIDR, 1994 · doi:10.1111/j.1365-2788.1994.tb00417.x