The risk-taking and self-harm inventory for adolescents: Development and psychometric evaluation.

Abstract

In this study, we report on the development and psychometric evaluation of the Risk-Taking (RT) and Self-Harm (SH) Inventory for Adolescents (RTSHIA), a self-report measure designed to assess adolescent RT and SH in community and clinical settings. 651 young people from secondary schools in England ranging in age from 11.6 years to 18.7 years and 71 young people referred to mental health services for SH behavior in London between the ages of 11.9 years and 17.5 years completed the RTSHIA along with standardized measures of adolescent psychopathology. Two factors emerged from the principal axis factoring, and RT and SH were further validated by a confirmatory factor analysis as related, but different, constructs, rather than elements of a single continuum. Inter-item and test-retest reliabilities were high for both components (Cronbach's α = .85, ru = .90; Cronbach's α .93, ru = .87), and considerable evidence emerged in support of the measure's convergent, concurrent, and divergent validity. The findings are discussed with regard to potential usefulness of the RTSHIA for research and clinical purposes with adolescents.

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)

“…The ISSIQ-A development is the primary aim of the current study, validity and psychometric properties will be presented in the results section Confirmatory factor analysis supports the two factor model of risk-taking and selfharm as two related, but not identical constructs (Vrouva et al, 2010). In that same study, the inventory internal consistency was high for both subscales (α = .85 for RT and α = .93 for SH) and test-retest reliability over a 3 month period was also good (RT = .90 and ST = .87).…”

“…Finally, risk behaviors, although often associated with the presence of self-harm behavior or suicide ideation, are independent phenomena typically observed in adolescence (Boyer, 2006;Vrouva et al, 2010). It is important to stress that risky behavior is often explained by the vulnerability stemming in functional and anatomical development of the adolescent brain, which favors reward-seeking processes over competent decision-making (Steinberg, 2007).…”

“…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.…”

O Adolescente Com Comportamento Autolesivo Sem Intenção Suicida No Internamento Do Serviço De Urgência De Um Hospital Pediátrico Da Região Centro

“…A nossa prática é concordante com os autores, assim sendo e perante esta problemática compete ao enfermeiro compreender como é que os adolescentes vivem estas situações. E é nesta senda de vulnerabilidade e mudança com as quais o adolescente ainda não sabe viver harmoniosamente que poderá surgir a adoção de comportamentos de risco (Vrouva et al, 2010) entre eles os comportamentos autolesivos, que podem servir de modelo de regulação emocional como forma de expressar e externalizar emoções intensas (Nock, Prinstein & Sterba, 2009), ou por outro lado, são utilizados como um meio de comunicação, quando existe um dé ce na mesma ou simplesmente ela não existe, dependendo das condições e da capacidade de resposta às necessidades internas, readaptações externas e dos meios de ajuda do contexto familiar, afetivo, académi-co e sociocultural (Trinco & Santos, 2015).…”

Cognitive–behavioural therapy and short-term psychoanalytic psychotherapy versus brief psychosocial intervention in adolescents with unipolar major depression (IMPACT): a multicentre, pragmatic, observer-blind, randomised controlled trial

“…55 The 20 items range from milder behaviours, such as picking at wounds and pulling one's hair out, to more serious self-harm, such as taking an overdose and attempting to commit suicide. Most items contain the word 'intentionally' or end with the phrase 'to hurt or punish yourself'.…”