Please answer the following questions by checking either, yes, or no. Interpersonal and intrapersonal functions of deliberate self harm dsh. Deliberate self harm inventory dshi, a self administered scale on intentional self harm behavior, and to evaluate its reliability and validity. This questionnaire asks about a number of different things that people sometimes do to hurt themselves. Download deliberate self harm inventory questionnaire doc.
Results showed that high and low nssi groups scored significantly higher than the control on neuroticism, and significantly lower on extraversion, agreeableness, and conscientiousness cohens d ranges. Deliberate self harm dsh is the intentional destruction of healthy body tissue without suicidal intent. Validated questionnaire assessments include the deliberate self harm inventory, 17 the functional assessment of self mutilation, 80 the self harm inventory, 81 and the self harm behavior questionnaire. The deliberate selfharm inventory gratz, 2001 is a 17item selfreport questionnaire developed to assess deliberate selfharm. Favazza1 defined deliberate self harm as the direct, deliberate destruction or alteration of ones own body tissue without conscious suicidal intent. The deliberate, self inflicted destruction of body tissue without suicidal intent and for purposes not socially sanctioned international society for the study of self injury by any other name parasuicide self harm self harm behavior self directed violence self. Effects of anger and impulsive traits on nonsuicidal selfinjury. Ritual self harm includes acts which occur within a set of shared cultural or religious beliefs, within which they token a particular significance or meaning. Adolescents aged 1418 years and college students completed the deliberate self harm inventory, state trait anger expression inventory 2 and the uppsp impulsivity scale. Researchandreport investigationof the reliabilityand. Personality traits, early maladaptive schemas, and severity. For this purpose, we developed a simplified version of gratzs 2001 deliberate selfharm inventory dshi, and carried out a pilot study with 123 adolescents. Three assessment tools for deliberate selfharm and suicide.
As with suicide, rates of selfharm vary greatly between countries. The present article focuses on the development and factorial validation of the inventory of deliberate self harm behaviours for portuguese adolescents. A pilot study with the swedish version of the inventory of statements about selfinjury isas. Deliberate self harm, sometimes called self injurious behavior, is often considered to be part of the spectrum of suicidal behaviors, consisting of self harm at the less intense end of the spectrum, and then including suicidal thinking, suicide attempts, and sui. Preliminary data on the deliberate self harm inventory.
Wait 10 or 15 minutes to decide if your urge to self harm is. However, the first two assess only nonsuicidal sh, whereas the latter focuses. Often, people who do these kinds of things to themselves keep it a secret, for a variety of reasons. It is behaviorally based and assesses aspects of deliberate self harm such as frequency, severity, duration, and type of self harming behavior. Although self harm is commonly reported in community surveys, young people presenting to hospitals represent less than 10% of the adolescent population who self harm. Screeners in use at the department of veterans affairs va do not query high risk and selfharm behaviors that are thought to be more. Self harm self harm coping strategies coping strategies. The definition of self harm is therefore purely behavioural and includes a spectrum of risktaking behaviours box 1. However, there is a scarcity of information about the degree to which the methods relate to the same dsh construct although such scales are routinely used to provide a dsh total score. Prevalence of deliberate self harm in patients with alcohol dependence syndrome was found to be 30%.
Personality traits, early maladaptive schemas, and. Dsh behaviours in nonclinical populations vary, and instruments containing a range of behaviours may be more informative than ones with restricted content. This study reports a relatively high prevalence rate of reported suicide attempts amongst young people with mental illness who engaged in self. For this purpose, we developed a simplified version of gratzs 2001 deliberate self. Deliberate selfharm a nonfatal suicidal behavior is one of the major problems in many developing and developed countries. Journal of psychopathology and behavioral assessment, 234, 253263. Deliberate self harm inventory 9item versionrevised dshi9r. Selfharm and suicide attempts can also seem very similar. Comparative study was examined against the unidimensionality of those who would therefore ask for unidimensionality of administration. Jul 01, 2006 the deliberate selfharm inventory dshi is a 17item questionnaire based on the definition of deliberate selfharm as the deliberate, direct destruction of body tissue without conscious suicidal intent, but results in injury severe enough for tissue damage to occur. Functions of nonsuicidal self injury among young women in residential care.
Tools used were deliberate self harm inventory dshi,mini mental state examination mmse and additional questionnaires for assessment of alcohol use pattern and sociodemographic data. The role of emotion regulation in deliberate self harm. Deliberate self harm inventory clinical change version ii. A suicidal act was recorded using the acts of deliberate self harm inventory davidson, 2000 and needed to fulfill all three of the following criteria. Self injury an overview what is nonsuicidal self injury. Deliberate self harm within an international community sample of young peo about the authors ple. Deliberate selfharm in swedish university students. Predictors of improvement in an opentrial multisite.
Journal of psychopathology and behavioral assessment, 23, 253263. Direct modes of self harm include cutting, burning, and headbanging. A battery of instruments, including the deliberate self harm inventory dshi and the functional assessment of self mutilation fasm were. Selfharm in adolescents advances in psychiatric treatment. The objectives of this study were to create a japanese version of the deliberate self harm inventory dshi, a self administered scale on intentional self harm behavior, and to evaluate its reliability and validity. An exploration of differences between deliberate selfharm. However, there remains a general lack of consensus. Jan 03, 20 engagement in deliberate self harm dsh is commonly measured by behavioural scales comprised of specific methods of self harm. Development and factorial validation of the inventory of. This study investigated the relationship between attachment, mood and deliberate self harm dsh in a nonclinical population n 114. Gratz, 2001, a self report questionnaire that assesses various aspects of dsh including frequency over speci. Note that this spectrum includes smoking, tattooing, recreational alcohol and drug misuse, food restriction and promiscuity. Check yes only to those items that you have done intentionally, or on purpose, to hurt yourself.
We use the term self harm to describe a range of behaviours that some people do to. An exploratory study of deliberate selfharm in a south. Pdf selfharm and homeless adults graham pluck academia. Assessment tools of nonsuicidal selfinjury in adolescents. In addition to a range of risky behaviours, the most commonly reported dsh behaviours were headbanging 47%, hitting 46%, scratching 38% and cutting 34%. Measuring selfharm behavior with the selfharm inventory.
Journal of child psychology graham pluck, phd, is a research psychologist whose primary and psychiatry, 49, 667677. A distant western relative of this is the fashion for body piercing and adornment with studs and rings. However, there remains a general lack of consensus as. The selfinjurious questionnaire the cornell research program.
Even if the focus is restricted to studying nonsuicidal selfinjury, one sees various terms across studies, including self mutilation, self harm, deliberate self harm, cutting, and. A psychometric examination of the inventory of statements about self injury isas scale volume 30 issue 1 rebecca kortge, tanya meade, alan tennant. Urdu translation and validation of 11item measure to. Researchandreport investigationof the reliabilityand validity. The deliberate selfharm inventory the hospital anxiety and depression scale the trait anxiety inventory stai the anxiety sensitivity index the acceptance and action questionnaire the statetrait anger inventory staxiii the barrett impulsivity scale version ii. Deliberate selfharm inventory dshi international society. Pdf intentional self harm behavior is an important clinical phenomenon that appears highly related to borderline personality disorder bpd. Deliberate self harm, sometimes called self injurious behavior, is often considered to be part of the spectrum of suicidal behaviors, consisting of self harm at the less intense end of the spectrum, and then including suicidal thinking, suicide attempts, and suicide death along the continuum of increasing severity. Self injurers, overall, were elevated on all impulsivity and anger facets except for sensation seeking. Nonsuicidal selfinjury and suicidal behaviours among. A pilot study with a modified version of the deliberate self harm inventory. Although there were minor issues with its internal. The term selfharm is commonly used to describe a wide range of behaviours and intentions including attempted hanging, impulsive self poisoning, and superficial cutting in response to intolerable tension.
The cornell research program on selfinjury and recovery. The deliberate selfharm inventory gratz, 2001 is a 17item self report questionnaire developed to assess deliberate self harm. The self harm inventory shi is a widely used measure of dsh in clinical populations mental and physical health and. Development and initial validation of the self harm behavior questionnaire. Assessment of riskbehavior, impulsivity, selfharm and suicide. Both of these scales were also used to check criterionrelated validity of bpfs11 original english scale sharp et al. Interpersonal and intrapersonal functions of deliberate. This crosssectional study aimed to generate an exploratory functional model of deliberate self harm dsh occurring among a south african student population n 603 using principle component analysis pca.
Understanding and responding to deliberate selfharm. Dshi deliberate self harm inventory dsm diagnostic and statistical manual of mental disorders dss depressive symptoms scale fasm functional assessment of self mutilation gof goodnessoffit hr hazard ratio icc intraclass correlation. Deliberate selfharm has recently begun to receive more systematic attention from clinical researchers. As expected, impulsive behaviors decrease with age, and the same is true for nonsuicidal selfinjury behavior. Measuring engagement in deliberate selfharm behaviours. It is behaviorally based and assesses aspects of deliberate selfharm such as frequency, severity, duration, and type of selfharming behavior. However, there remains a general lack of consensus as to how to define and measure this important clinical construct. Journal of psychopathology and behavioral assessment, 23 4, 253263.
Similarly, individuals with bpd also attempt self harming behaviors, and because self harm is a characteristic of bpd, deliberate self ham inventory was selected to check criterionrelated validity of bpfs11. The direct and indirect selfharm inventory dish nock lab. Deliberate self harm in swedish university students onset and relationships with anxiety and mindfulness. Anger was a stronger predictor of who was and who was not a self injurer. The deliberate, self inflicted destruction of body tissue without suicidal intent and for purposes not socially sanctioned international society for the study of self injury by any other name parasuicide self harm self harm behavior self directed violence self abuse. Gratz, 2001 is a 17item, self report questionnaire that assesses various aspects of dsh including frequency over specified time periods.
Effects of anger and impulsive traits on nonsuicidal self. There is still no standardized, empirically validated measure of deliberate selfharm, making it more difficult for research in this area to advance. As one would expect, having multiple terms for self harm creates misunderstanding and confusion both in academic research and in clinical settings. Randomized controlled trial and uncontrolled 9month followup of an adjunctive emotion regulation group therapy for deliberate self. The risktaking and selfharm inventory for adolescents. Hypotheses and writing of self harm in eating disorders in future research levels of behaviours. This instrument assesses the lifetime frequency of dsh. Prevalence of deliberate selfharm in alcohol dependence. Evidence suggests that multiple methods are used with a self aggressive intent. Three assessment tools for deliberate selfharm and. The reason for using the dshi9r was that a shorter instrument would be easier and quicker for participants to answer.
We also believed that such a measure may prove to be a useful screening device for detecting bpd because in our clinical experience, many individuals with bpd. Harm inventory dshi, and carried out a pilot study with 123 adolescents from three different schools in southern sweden. Aug 19, 2009 background deliberate self harm dsh is the intentional destruction of healthy body tissue without suicidal intent. Deliberate selfharm in swedish university students onset. Self harm is a behaviour in which people deliberately inflict harm upon their bodies. Preliminary data on the deliberate selfharm inventory springerlink. Deliberate self harm has recently begun to receive more systematic attention from clinical researchers. Walley3, rebekah byrd1, and jennifer schuster1 abstract this article provides readers with an understanding of self injury assessment. The role of emotion regulation in deliberate self harm among. Prevalence, sociodemographics, topography, and functions. Those who engaged in dsh had poorer quality of attachment to both parents but not peers, and. Psychometric analysis of the selfharm inventory using rasch.
Download deliberate self harm inventory questionnaire pdf. In study 2, women n 285 sampled from an outpatient medical setting completed the shi and a widely used self. Psychometric analysis of the selfharm inventory using. Come up with some strategies about how to not self harm. A pilot study with a modified version of the deliberate self harm inventory scandinavian journal of psychology, 2007. As self harm is common among adolescents, it is important to gain an understanding of the relationship between self harming behaviour and completed suicide. Self harm behavior is exhibited by a substantial minority of the general population and may be particularly prevalent among adolescents and clinical samples. One hundred and fifty participants from undergraduate psychology courses. Participants completed the deliberate self harm inventory, big five inventory, and early maladaptive schema questionnaire short form. Deliberate self injury dsi, the intentional and direct injury of ones body tissue without conscious suicidal intent, sometimes referred as self mutilation, nonsuicidal deliberate self harm and self wounding 1,2, has an approximate prevalence of 4% in the general population 3 with higher rates found in adolescents, young adults.
Deliberate self harm dsh is a public health problem that mainly affects adolescents and young adults. All the suggestions we already discussed can be useful to delay self harming. Download free pdf deliberate self harm in 15yearold adolescents. Psychometric properties of the inventory of statements about selfinjury. Please be sure to read each question carefully and. Deliberate selfharm journal of postgraduate medicine, education. Deliberate selfharm inventory gratz 2001 versione italiana il questionario fa riferimento a diversi comportamenti che le persone possono mettere in atto per farsi intenzionalmente del male. Please be sure to read each question carefully and respond honestly. Widelyused selfreport measures, such as the adolescent risktaking scale alexander et al. Agree to call them in an hour or two and tell them how it went. This tool is a behaviorally based, self report questionnaire developed to assess deliberate self harm.
397 930 1436 35 607 924 1441 74 802 1089 1695 1243 1412 1367 1614 101 274 991 260 580 321 394 825 251 1113 1470 430 688 371 14 1301 1710 606 45 1381