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Existing research on SIB in autism spectrum disorder (ASD) has been limited by significant methodological and conceptual inconsistencies. Thus, the current study leveraged item\u2010level data capturing the severity of unique SIB topographies to further understanding of factors associated with distinct SIB in a sample of 582 autistic youth (<jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub>\u2009=\u200912.12, <jats:italic>SD<\/jats:italic><jats:sub>age<\/jats:sub>\u2009=\u20093.68; range: 3\u201319\u2009years; 13% females). Results suggest variation in severity endorsements for specific SIB topographies amongst autistic youth, such that 30%\u201350% of caregivers endorsed slight to very serious concern regarding the SIB topographies of bites nails\/skin\/fingers, scratches self, hits head\/face\/neck, bangs head against things, and picks skin. Generalized additive models demonstrated distinct patterns of associations between each SIB topography and dysregulation, sensory hypersensitivity, age, sex, IQ, and language level. Findings underscore the importance of exploring SIB as a multifaceted construct to capture unique correlates of distinct SIB that vary in severity and functional impact, which is critical for the development of effective interventions. This study represents an important step towards more individualized characterization of SIB and support for diverse presentations of these behaviors in autistic youth.<\/jats:p>","DOI":"10.1002\/aur.3269","type":"journal-article","created":{"date-parts":[[2024,11,23]],"date-time":"2024-11-23T07:43:43Z","timestamp":1732347823000},"page":"133-151","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Exploring the Heterogeneity of Self\u2010Injurious Behaviors in Autistic Youth: Patterns, Predictors, and Implications for Intervention"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2771-6346","authenticated-orcid":false,"given":"Emily F.","family":"Ferguson","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Spackman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ru Ying","family":"Cai","sequence":"additional","affiliation":[{"name":"Aspect Research Centre for Autism Practice Autism Spectrum Australia  Frenchs Forest New South Wales Australia"},{"name":"Olga Tennison Autism Research Centre, School of Psychology and Public Health La Trobe University  Bundoora Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Y.","family":"Hardan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7481-3923","authenticated-orcid":false,"given":"Mirko","family":"Uljarevi\u0107","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2010.05.002"},{"issue":"5","key":"e_1_2_11_3_1","first-page":"485","article-title":"The aberrant behavior checklist: A behavior rating scale for the assessment of treatment effects","volume":"89","author":"Aman M. 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