Self-injurious behavior and related mortality in children under 10 years of age: a retrospective health record study in Brazil

Objective: To describe and analyze data on self-injurious behavior (SIB) and related mortality in children under 10 years old in Brazil. Methods: A descriptive study was performed using secondary public health care data extracted from the Hospital Information System (Sistema de Informações Hospitalares, SIH) and Mortality Information System (Sistema de Informações sobre Mortalidade, SIM) in Brazil. The databases are available for online access at http://datasus.saude.gov.br/. Results: In Brazil, according to SIH data, 11,312 hospitalizations of patients under 10 years of age were recorded from 1998 to 2018 as resulting from SIB (ICD-10 X60-X84 codes). Of these, 65 resulted in death. According to the SIM, from 1996 to 2016, 91 deaths related to SIB were recorded, 81 (89%) in children aged 5 to 9 years, nine (9.9%) in children aged 1 to 4 years, and one (1.1%) in a child below 1 year of age. Conclusion: These results highlight the relevance of creating measures to better understand SIB and related mortality in this age group. They also reveal the vulnerability of children in Brazil and warrant further studies to address these issues.

LEGO® therapy as an intervention in autism spectrum disorders: an integrative literature review / A LEGO® Terapia como método de intervenção nas desordens do transtorno do espectro autista: uma revisão integrativa

ABSTRACT Objective: to analyze the effects of LEGO® therapy as an intervention for autism spectrum disorder through an integrative literature review. Methods: the study included a search of electronic databases, and nine empirical studies and three books, detailing the intervention method, were selected. Results: the studies identified quantifiable improvements in social behavior and language/communication after LEGO® therapy. Conclusion: LEGO® therapy is an intervention that favors motivation, interaction, and teamwork using a material that allows a variety of strategies, which have shown proven positive effects on the development of children with ASD.

RESUMO Objetivo: o objetivo desta revisão integrativa é analisar os efeitos da LEGO® Terapia como uma técnica de intervenção nas desordens do Transtorno do Espectro Autista, levantando informações sobre uma técnica de intervenção nos mesmos método terapêutico. Metódos: foi realizada uma pesquisa nas bases de dados eletrônicos e foram utilizados nove artigos que descrevem estudos empíricos de intervenção e três livros sobre o método. Resultados: os estudos identificaram melhoras quantificáveis no comportamento social e na linguagem/comunicação após a intervenção com este método. Conclusão: a LEGO® Terapia tem sido estudada por ser uma intervenção que favorece a motivação, a interação e o trabalho conjunto a partir de um material que permite uma variedade de estratégias, que tem seus efeitos comprovados na evolução do quadro dos indivíduos com TEA