Self-Injurious Thoughts and Behaviors Interview: Development, reliability, and validity in an adolescent sample.

Nock, Matthew K.; Holmberg, Elizabeth B.; Photos, Valerie I.; Michel, Bethany D.

doi:10.1037/1040-3590.19.3.309

Cited by 1,078 publications

(973 citation statements)

References 34 publications

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“…This covered content similar to that found in the Self-Injurious Thoughts and Behaviors Interview (SITB: Nock et al, 2007). Participants were also screened for the presence of current Axis I disorders using the SCID (First et al, 1996).…”

Section: Methodsmentioning

confidence: 99%

Direct and indirect forms of non-suicidal self-injury: Evidence for a distinction

Germain

Hooley

2012

Psychiatry Research

118

116

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Non-suicidal self-injury (NSSI) involves deliberate acts (such as cutting) that directly damage the body but occur without suicidal intent. However, other non-suicidal behaviors that involve people mistreating or abusing themselves but that do not deliberately and directly damage bodily tissue may have much in common with NSSI. Such 'indirect' methods of self-injury might include involvement in abusive relationships, substance abuse, risky or reckless behavior, or eating disordered behavior. Using a community sample (N=156) we compared individuals engaging in NSSI (n=50), indirect (non-suicidal) self-injurers (n=38), and healthy controls (n=68) on a range of clinical and personality characteristics. As predicted, non-suicidal selfinjurers and indirect self-injurers showed more pathology than healthy controls on all measures.Comparisons of the NSSI and the Indirect self-injury groups revealed no significant differences on measures of dissociation, aggression, impulsivity, self-esteem, negative temperament, depressive symptoms, and borderline personality disorder. However, compared to people who engaged only in indirect forms of self-injury, those who engaged in NSSI were more self-critical, had higher scores on a measure of suicide proneness, and had a history of more suicide attempts.The findings suggest that NSSI and indirect self-injury are best viewed as separate and distinct clinical phenomena.Key Words = DSM-5, non-suicidal self-injury (NSSI), deliberate self-harm, suicide, borderline personality disorder, self-criticism.NSSI and Indirect Self--Injury 3 3

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Section: Methodsmentioning

confidence: 99%

Direct and indirect forms of non-suicidal self-injury: Evidence for a distinction

Germain

Hooley

2012

Psychiatry Research

118

116

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“…SITBs appear to be transient phenomena that rarely occur during laboratoryor clinic-based assessments and so prior studies, including our own, have relied on the use of long-term, retrospective, aggregate self-report questions to measure SITBs (e.g., "How many times in your life have you thought about hurting yourself? ")(e.g., Nock, Holmberg, Photos, & Michel, 2007). The methodological limitations introduced by relying on such a strategy are well-known (Bradburn, Rips, & Shevell, 1987;Schacter, 1999).…”

Section: Author Manuscript Author Manuscriptmentioning

confidence: 99%

Revealing the form and function of self-injurious thoughts and behaviors: A real-time ecological assessment study among adolescents and young adults.

Nock¹,

Prinstein²,

Sterba³

2010

Psychology of Violence

Self Cite

157

226

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Self-injurious behaviors are among the leading causes of death worldwide. However, the basic nature of self-injurious thoughts and behaviors (SITBs) is not well-understood because prior studies have relied on long-term, retrospective, aggregate, self-report assessment methods. We used ecological momentary assessment methods to measure suicidal and non-suicidal SITBs as they naturally occur in real-time. Participants were 30 adolescents and young adults with a recent history of self-injury who completed signal-and event-contingent assessments on handheld computers over a 14-day period, resulting in the collection of data on 1262 thought and behavior episodes. Participants reported an average of 5.0 thoughts of nonsuicidal self-injury (NSSI) per week, most often of moderate intensity and short duration (1-30 minutes), and 1.6 episodes of NSSI per week. Suicidal thoughts occurred less frequently (1.1 per week), were of longer duration, and led to self-injurious behavior (i.e., suicide attempts) less often. Details are reported about the contexts in which SITBs most often occur (e.g., what participants were doing, who they were with, and what they were feeling before and after each episode). This study provides a first glimpse of how SITBs are experienced in everyday life and has significant implications for scientific and clinical work on self-injurious behaviors.Self-injurious behaviors are among the leading causes of death and injury worldwide (Nock, Borges et al., 2008;WHO, 2008), and represent one of the most perplexing problems facing psychological scientists. Philosophers have speculated about the nature of suicidal selfinjury for centuries (e.g., Kant, Camus, Rousseau, Satre, Hobbes, Locke, Hume)(see Minois, 1999), and over the past 50 years scientists have used systematic research methods to study self-injurious thoughts and behaviors (SITBs). SITBs include both suicidal behaviors (e.g., Correspondence to: Matthew K. Nock, Ph.D., 33 Kirkland Street, 1280, Cambridge, MA 02138, nock@wjh.harvard.edu. Publisher's Disclaimer: The following manuscript is the final accepted manuscript. It has not been subjected to the final copyediting, fact-checking, and proofreading required for formal publication. It is not the definitive, publisher-authenticated version. The American Psychological Association and its Council of Editors disclaim any responsibility or liabilities for errors or omissions of this manuscript version, any version derived from this manuscript by NIH, or other third parties. The published version is available at www.apa.org/ pubs/journals/abn. HHS Public AccessAuthor manuscript J Abnorm Psychol. Author manuscript; available in PMC 2017 January 23. Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript suicidal thoughts, suicide attempts) as well as non-suicidal self-injury (NSSI), which refers to the direct, deliberate destruction of body tissue in the absence of lethal intent (Nock & Favazza, 2009;Nock, Wedig, Janis, & Deliberto, 2008). This research has provided valuable info...

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“…To date, several research studies on NSSI in adolescence has been conducted using measures to assess self-harm: FASM (Lloyd et al, 1997); SHI (Sansone et al, 1998); DSHI (Gratz, 2001) and DSHI-S (Lundh et al, 2007); SITBI (Nock et al, 2007); ISAS (Klonsky, 2009); RSHIA (Vrouva et al, 2010). However, many were developed and validated in clinical and non-clinical adult samples, and the psychometric properties of the adapted versions to youths were not thoroughly explored prior to administration in research with adolescent samples.…”

Section: Assessmentmentioning

confidence: 99%

Mapping non suicidal self-injury in adolescence: Development and confirmatory factor analysis of the Impulse, Self-harm and Suicide Ideation Questionnaire for Adolescents (ISSIQ-A)

Carvalho

Nunes

Castilho

et al. 2015

Psychiatry Research

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Non-suicidal self-injury (NSSI) is the deliberate, self-inflicted destruction of body tissue without suicidal intent and an important clinical phenomenon. Rates of NSSI appear to be disproportionately high in adolescents and young adults, and is a risk factor for suicidal ideation and behavior. The present study reports the psychometric properties of the Impulse, Self-harm and Suicide Ideation Questionnaire for Adolescents (ISSIQ-A), a measure designed to comprehensively assess the impulsivity, NSSI behaviors and suicide ideation. An additional module of this questionnaire assesses the functions of NSSI. Results of Confirmatory Factor Analysis (CFA) of the scale on 1722 youths showed item's suitability and confirmed a model of four different dimensions (Impulse, Self-harm, Risk-behavior and Suicide ideation) with good fit and validity. Further analysis showed that youth's engagement in self-harm may exert two different functions: to create or alleviate emotional states, and to influence one's social relationships. Our findings contribute to research and assessment on non-suicidal selfinjury, suggesting that the ISSIQ-A is a valid and reliable measure to assess impulse, self-harm and suicidal thoughts, in adolescence.

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Self-Injurious Thoughts and Behaviors Interview: Development, reliability, and validity in an adolescent sample.

Cited by 1,078 publications

References 34 publications

Direct and indirect forms of non-suicidal self-injury: Evidence for a distinction

Direct and indirect forms of non-suicidal self-injury: Evidence for a distinction

Revealing the form and function of self-injurious thoughts and behaviors: A real-time ecological assessment study among adolescents and young adults.

Mapping non suicidal self-injury in adolescence: Development and confirmatory factor analysis of the Impulse, Self-harm and Suicide Ideation Questionnaire for Adolescents (ISSIQ-A)

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