Self-injurious Behavior of Children with Autism in Vietnam: Across Sectional Study

Abstract

This study explored self-injurious behaviour (SIB) of autistic children in Vietnam through a crosssectional design. 60 informants, including 57 parents and 3 caregivers completed the questionnaire on problem behaviour consisting of aggression, self-injury, stereotyping, property destruction, other problem behaviours and their functions. Results revealed that children experienced all mentioned problem behaviours, especially self-injurious behaviour. The topographies of self-injurious behaviour of the children included head-hitting, head-scratching, head-banging, hair-pulling, face-hitting, facepuncturing with a pen, ear-scratching, lip-picking, hand-biting, hand-scratching, hand-pinching, and belly-scratching. The most common area of self-injurious behaviour is the head. The functions of these problem behaviours were expressed in four types (social positive reinforcement, social negative reinforcement, automatic positive reinforcement and automatic negative reinforcement). Social positive reinforcement appeared as a prominent function. Out of these 57 children, 21 of them who were autistic with self-injurious behaviour went through a functional behaviour assessment (FBA) in which the four conditions known as attention, tangible items, escape from task/activities, automatic stimulation were tested. The results of functional behaviour assessment (FBA) further indicated the correspondence between the FAST-R and FBA outcome on function of problem behaviour, especially self-injurious behaviour. The research concluded that the prominent function of these self-injurious behaviours was social function. It means self-injurious behaviours usually occur within a condition of social interaction, especially, in this present study, in the tangible condition. The antecedent of selfinjurious behaviour is the removal of tangibles (e.g. food, preferred items). This paper contributes to our knowledge of self-injurious behaviour of children with autism in Vietnam where empirical research of this field was still very rare.