{"id":"https://openalex.org/W1586981470","doi":"https://doi.org/10.1542/peds.85.3.437","title":"Children With Self-Injurious Behavior","display_name":"Children With Self-Injurious Behavior","publication_year":1990,"publication_date":"1990-03-01","ids":{"openalex":"https://openalex.org/W1586981470","doi":"https://doi.org/10.1542/peds.85.3.437","mag":"1586981470","pmid":"https://pubmed.ncbi.nlm.nih.gov/2304806"},"language":"en","primary_location":{"id":"doi:10.1542/peds.85.3.437","doi":"https://doi.org/10.1542/peds.85.3.437","is_oa":false,"landing_page_url":"https://doi.org/10.1542/peds.85.3.437","pdf_url":null,"source":{"id":"https://openalex.org/S77494981","display_name":"PEDIATRICS","issn_l":"0031-4005","issn":["0031-4005","1098-4275"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315734","host_organization_name":"American Academy of Pediatrics","host_organization_lineage":["https://openalex.org/P4310315734"],"host_organization_lineage_names":["American Academy of Pediatrics"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5014323094","display_name":"Susan L Hyman","orcid":"https://orcid.org/0000-0003-4476-7265","observed_orcids":["https://orcid.org/0000-0003-4476-7265"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Susan L. Hyman","raw_affiliation_strings":["From The Kennedy Institute for Handicapped Children and the Departments of Pediatrics and Psychiatry, The Johns Hopkins University School of Medicine, Baltimore, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From The Kennedy Institute for Handicapped Children and the Departments of Pediatrics and Psychiatry, The Johns Hopkins University School of Medicine, Baltimore, Maryland","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039286778","display_name":"Wayne W. Fisher","orcid":"https://orcid.org/0000-0001-6601-7743","observed_orcids":["https://orcid.org/0000-0001-6601-7743"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Wayne Fisher","raw_affiliation_strings":["From The Kennedy Institute for Handicapped Children and the Departments of Pediatrics and Psychiatry, The Johns Hopkins University School of Medicine, Baltimore, Maryland","Center for Autism Spectrum Disorders"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From The Kennedy Institute for Handicapped Children and the Departments of Pediatrics and Psychiatry, The Johns Hopkins University School of Medicine, Baltimore, Maryland","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]},{"raw_affiliation_string":"Center for Autism Spectrum Disorders","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077004991","display_name":"Marianne Mercugliano","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marianne Mercugliano","raw_affiliation_strings":["From The Kennedy Institute for Handicapped Children and the Departments of Pediatrics and Psychiatry, The Johns Hopkins University School of Medicine, Baltimore, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From The Kennedy Institute for Handicapped Children and the Departments of Pediatrics and Psychiatry, The Johns Hopkins University School of Medicine, Baltimore, Maryland","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5080327570","display_name":"Michael F. Cataldo","orcid":"https://orcid.org/0000-0002-4021-5095","observed_orcids":["https://orcid.org/0000-0002-4021-5095"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael F. Cataldo","raw_affiliation_strings":["From The Kennedy Institute for Handicapped Children and the Departments of Pediatrics and Psychiatry, The Johns Hopkins University School of Medicine, Baltimore, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From The Kennedy Institute for Handicapped Children and the Departments of Pediatrics and Psychiatry, The Johns Hopkins University School of Medicine, Baltimore, Maryland","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I2799853436"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.8277,"has_fulltext":false,"cited_by_count":96,"citation_normalized_percentile":{"value":0.924374,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"85","issue":"3","first_page":"437","last_page":"441"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.6366999745368958,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.6366999745368958,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11015","display_name":"Down syndrome and intellectual disability research","score":0.26809999346733093,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10826","display_name":"Behavioral and Psychological Studies","score":0.038600001484155655,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/self-harm","display_name":"self-harm","score":1.0},{"id":"https://openalex.org/keywords/intellectual-disability","display_name":"intellectual disability","score":0.9070000052452087},{"id":"https://openalex.org/keywords/severe-intellectual-disability","display_name":"severe intellectual disability","score":0.8370000123977661},{"id":"https://openalex.org/keywords/children","display_name":"children","score":0.4880000054836273},{"id":"https://openalex.org/keywords/adolescents","display_name":"adolescents","score":0.9810000061988831},{"id":"https://openalex.org/keywords/young-adults","display_name":"young adults","score":0.6800000071525574},{"id":"https://openalex.org/keywords/head-banging","display_name":"head banging","score":0.7519999742507935},{"id":"https://openalex.org/keywords/biting-behavior","display_name":"biting behavior","score":0.8029999732971191},{"id":"https://openalex.org/keywords/pervasive-developmental-disorders","display_name":"pervasive developmental disorders","score":0.824999988079071},{"id":"https://openalex.org/keywords/visual-impairment","display_name":"visual impairment","score":0.8289999961853027},{"id":"https://openalex.org/keywords/infantile-spasms","display_name":"infantile spasms","score":0.9980000257492065},{"id":"https://openalex.org/keywords/physical-injury","display_name":"personal injury","score":0.6779999732971191},{"id":"https://openalex.org/keywords/community-based-care","display_name":"community-based care","score":0.722000002861023},{"id":"https://openalex.org/keywords/pediatric-monitoring","display_name":"pediatric monitoring","score":0.4309999942779541}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8668296337127686},{"id":"https://openalex.org/C2777642821","wikidata":"https://www.wikidata.org/wiki/Q206060","display_name":"Scars","level":2,"score":0.5101590752601624},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.46305179595947266},{"id":"https://openalex.org/C2781372952","wikidata":"https://www.wikidata.org/wiki/Q737460","display_name":"Visual impairment","level":2,"score":0.46001362800598145},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.4493376612663269},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.4422365725040436},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.42025962471961975},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.41139674186706543},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.1905512809753418},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.0945456326007843},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001766","descriptor_name":"Blindness","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D002547","descriptor_name":"Cerebral Palsy","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002659","descriptor_name":"Child Development Disorders, Pervasive","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008607","descriptor_name":"Intellectual Disability","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D012652","descriptor_name":"Self Mutilation","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D014947","descriptor_name":"Wounds and Injuries","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1542/peds.85.3.437","doi":"https://doi.org/10.1542/peds.85.3.437","is_oa":false,"landing_page_url":"https://doi.org/10.1542/peds.85.3.437","pdf_url":null,"source":{"id":"https://openalex.org/S77494981","display_name":"PEDIATRICS","issn_l":"0031-4005","issn":["0031-4005","1098-4275"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315734","host_organization_name":"American Academy of Pediatrics","host_organization_lineage":["https://openalex.org/P4310315734"],"host_organization_lineage_names":["American Academy of Pediatrics"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"journal-article"},{"id":"pmid:2304806","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2304806","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2051629854","https://openalex.org/W1977486728","https://openalex.org/W2216942017","https://openalex.org/W89831377","https://openalex.org/W2172066228","https://openalex.org/W2484184336","https://openalex.org/W72255977","https://openalex.org/W2130219249","https://openalex.org/W805513498","https://openalex.org/W2065661766"],"abstract_inverted_index":{"Self-injurious":[0],"behavior":[1,40,91],"is":[2,7],"a":[3,42,116],"serious":[4],"problem":[5],"that":[6,63],"not":[8],"uncommon":[9],"among":[10],"individuals":[11,173],"with":[12,89],"mental":[13,76,98],"retardation.":[14],"Medical":[15],"and":[16,23,36,49,69,115,145,165],"developmental":[17,111],"characteristics":[18],"of":[19,66,82,96,118,130,153,171],"97":[20],"children,":[21],"adolescents,":[22],"young":[24],"adults":[25],"(age":[26],"range":[27],"11":[28,33],"months":[29],"to":[30,94,175,182],"21":[31],"years,":[32],"months)":[34],"assessed":[35],"treated":[37],"for":[38],"self-injurious":[39,90,131,188],"in":[41,59,62,80,125,151,187],"specialized,":[43],"interdisciplinary":[44],"inpatient":[45],"unit":[46],"between":[47],"1980":[48],"1988":[50],"were":[51,92,137,160],"reviewed.":[52],"This":[53],"population":[54],"differed":[55],"from":[56],"those":[57,95],"reported":[58,159],"previous":[60],"studies":[61],"it":[64],"was":[65,78,149],"school":[67],"age":[68],"predominantly":[70],"community":[71,169],"based.":[72],"Severe":[73],"or":[74],"profound":[75],"retardation":[77,99],"present":[79],"82.5%":[81],"our":[83],"patients.":[84],"The":[85,133],"causative":[86],"diagnoses":[87],"associated":[88],"similar":[93],"severe":[97],"alone.":[100],"Associated":[101],"disabilities":[102],"represented":[103],"at":[104],"greater":[105],"than":[106,127],"expected":[107],"frequencies":[108],"included":[109],"pervasive":[110],"disorders,":[112],"visual":[113],"impairment,":[114],"history":[117],"infantile":[119],"spasms.":[120],"Most":[121],"patients":[122,184],"(81.4%)":[123],"engaged":[124],"more":[126],"one":[128],"type":[129],"behavior.":[132,189],"most":[134,157],"common":[135],"topographies":[136],"head":[138,141],"banging,":[139],"biting,":[140],"hitting,":[142,144],"body":[143],"scratching.":[146],"Physical":[147],"injury":[148],"documented":[150],"77%":[152],"cases;":[154],"the":[155],"injuries":[156],"frequently":[158],"excoriations,":[161],"scars/callus":[162],"formation,":[163],"hematomas,":[164],"local":[166],"infection.":[167],"As":[168],"placement":[170],"handicapped":[172],"continues":[174],"increase,":[176],"pediatricians":[177],"will":[178],"be":[179],"called":[180],"upon":[181],"monitor":[183],"who":[185],"engage":[186]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":7},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":4}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}