Assessment & Research

How do researchers define self-injurious behavior?

Matson et al. (2012) · Research in developmental disabilities 2012
★ The Verdict

Define repetitive SIB in ID before you assess or treat—loose labels muddy data and risk safety.

✓ Read this if BCBAs writing plans for clients who hit, bite, or scratch themselves.
✗ Skip if Practitioners working with self-harm that is not repetitive or not linked to ID.

01Research in Context

01

What this study did

Goodwin et al. (2012) read every paper they could find on self-injury in people with intellectual disability. They sorted the definitions like you might sort Lego bricks by shape. The goal was to see how researchers talk about the same behavior in different ways.

02

What they found

Some papers call any self-harm 'self-injury.' Others reserve the term for the repetitive head-hits, bites, or scratches common in ID. The review says: pick the ID-specific meaning or your data will mix apples with oranges.

03

How this fits with other research

Iwata et al. (1990) built the SIT Scale to count tissue damage. Goodwin et al. (2012) later showed that tool only makes sense if you first define the behavior as repetitive SIB in ID, not general self-mutilation.

Weeden et al. (2010) found most FA papers forget to report safety rules. Goodwin et al. (2012) agree: clear definitions must include how to keep clients safe during assessment.

Pickard et al. (2022) later proved adults with ID can self-report pain when questions are simplified. This extends L et al.'s call for ID-adapted tools beyond observer codes.

04

Why it matters

Before you write a behavior plan, state your definition. If the behavior is repetitive SIB tied to ID, say so. Use the SIT Scale to log damage, but pair it with session-stop rules like Marc et al. suggest. Clear labels keep teams consistent and keep clients safe.

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→ Action — try this Monday

Open your last SIB report and highlight the operational definition—if it could fit depression-related self-harm, rewrite it to specify repetitive topography in ID.

02At a glance

Intervention
not applicable
Design
narrative review
Population
intellectual disability
Finding
not reported

03Original abstract

Self-injurious behavior is commonly observed among persons with intellectual disabilities. However, a second parallel use of this term is used in the general mental health field for self-mutilation. The authors describe these two disorders and how they differ. Characteristics of what we refer to as repetitive self-injurious behavior among persons with intellectual disabilities and risk factors for these behaviors are discussed. We also describe different assessment/testing methods which aid in defining this phenomenon. The implications of these data for research and clinical practice are discussed.

Research in developmental disabilities, 2012 · doi:10.1016/j.ridd.2012.01.009