In autism, self-injurious behaviors may occur as part of sensory processing differences; which statement is true?

• A. They never occur
• B. They can occur as a response to sensory processing differences
• C. They are always due to another medical condition
• D. They only occur in late adulthood

Answer: (B)

Self-injurious behaviors can be a way for autistic individuals to regulate sensory input. When someone is overwhelmed by sensory stimuli or, conversely, needs more sensory input to feel calm, self-injury can serve as a coping mechanism or a form of self-regulation. It also often arises when communication is limited, providing a nonverbal way to express distress or a need. This makes the statement that such behaviors can occur as a response to sensory processing differences true.

These behaviors are not limited to any one stage of life; they can appear in childhood and adolescence and may continue, rather than being confined to late adulthood. They are not automatically caused by another medical condition, though medical issues can contribute in some cases. If you see SIB, prioritize safety and look for sensory triggers or needs, then consider strategies that provide alternative sensory input and clearer communication, and involve appropriate healthcare professionals as needed.