Self-injurious behavior in institutionalized, severely/profoundly retarded adults—Prevalence data and staff agreement

Abstract

Staff agreement on the identification of 18 different types of self-injurious behavior (SIB) and the prevalence of SIB were assessed in a population of 91 severely and profoundly retarded residents in a large facility for mentally retarded people in West Germany (FRG). The survey included 27 direct care staff; groups of three to five rated the behavior of 8 to 27 residents from their own wards. Agreement was calculated with two different formulas for multiple raters. The data suggest that the standard definition of SIB [Tate, B. G.,& Baroff, G. S. (1966).Behavior Research and Therapy, 4, 281–287], together with a list of the most common SIB topographies, yields variable and generally low staff agreement. The data for the prevalence statistics were derived from cases in which at least 50% of the staff had indicated the occurrence of an SIB topography in a resident. Sixty of the 91 residents exhibited some form of SIB; of these, 15 demonstrated only one type, 12 two, and 33 three or more SIB topographies. The data corroborate the notion of the two taxonomic classes of “social and “nonsocial” SIB. Contrary to other classifications the data indicate that “ruminative vomiting” belongs to the social SIB class.