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Validity of the Self-Harm Behavior Questionnaire with Diverse Adolescents

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Abstract

Suicide and non-suicidal self-injurious behavior (NSSI) continue to be significant health problems for adolescents. Although there are many instruments available to assess self-harm behaviors, few have been validated for use with adolescents, and even fewer have been validated for use with different racial/ethnic groups. The Self-Harm Behavior Questionnaire (SHBQ) assesses NSSI, suicidal ideation, suicide threats, and past suicide attempts. Data from 1,386 racially/ethnically diverse adolescents (57.5% minority) were collected to examine the validity of the SHBQ in this age group. Analyses supported the four-factor structure, revealed the SHBQ is internally consistent, and provided evidence for convergent validity within Caucasian, African American, and Hispanic adolescents. However, slight differences were noted. Overall, the findings suggest the SHBQ is a useful assessment tool appropriate for use with Caucasian, African American, and Hispanic adolescents.

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Notes

  1. To prevent confusion over terms used to describe the different behaviors assessed by the SHBQ, the following definitions based on Silverman et al. (2007) taxonomy were used: self-harm is used as a general descriptor of behaviors both with and without intent to die; non-suicidal self-injury (NSSI) is an act resulting in immediate tissue damage in which there was no conscious intent to die; suicide attempt is an act that may or may not have resulted in injuries for which there was some conscious intent to die; suicide ideation refers to having thoughts of or wishes to die by one’s own actions; and suicide threat refers to interpersonal communications that one is considering engaging in an act that could lead to death

References

  • Baca-Garcia, E., Perez-Rodriguez, M. M., Mann, J. J., & Oquendo, M. A. (2008). Suicidal behavior in young women. Psychiatric Clinics of North America, 31, 317–331.

    Article  PubMed  Google Scholar 

  • Canetto, S. S. (1997). Meanings of gender and suicidal behavior during adolescence. Suicide and Life-Threatening Behavior, 27, 339–351.

    PubMed  Google Scholar 

  • Canino, G., & Roberts, R. E. (2001). Suicidal behavior among Latino youth. Suicide and Life-Threatening Behavior, 31, 122–131.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention (2007). Health Risk Behaviors by Race/Ethnicity Available at: http://www.cdc.gov/HealthyYouth/yrbs/pdf/yrbs07_us_disparity_race.pdf. Accessed on June 16, 2008.

  • Cloutier, P., & Humphreys, L. (2008). Measurement of non-suicidal self-injury in adolescents. In M. K. Nixon, & N. L. Heath (Eds.), Self-Injury in Youth (pp. 115–142). Routledge: New York.

    Google Scholar 

  • Goldston, D. B. (2003). Measuring suicidal behavior and risk in children and adolescents. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Goldston, D. B., Molock, S. D., Whitbeck, L. B., Murakami, J. L., Zayas, L. H., & Nagayama Hall, G. C. (2008). Cultural considerations in adolescent suicide prevention and psychosocial treatment. American Psychologist, 63, 14–31.

    Article  PubMed  Google Scholar 

  • Gratz, K. L. (2001). Measurement of deliberate self-harm: preliminary data on the deliberate self-harm inventory. Journal of Psychopathology and Behavioral Assessment, 23, 253–263.

    Article  Google Scholar 

  • Gutierrez, P. M., & Osman, A. (2008). Adolescent suicide: An integrated approach to the assessment of risk and protective factors. DeKalb, IL: Northern Illinois University Press.

    Google Scholar 

  • Gutierrez, P. M., Osman, A., Kopper, B. A., & Barrios, F. X. (2000). Why young people do not kill themselves: the reasons for living inventory for adolescents. Journal of Clinical Child Psychology, 29, 177–187.

    Article  PubMed  Google Scholar 

  • Gutierrez, P. M., Osman, A., Barrios, F. X., & Kopper, B. A. (2001). Development and initial validation of the self-harm behavior questionnaire. Journal of Personality Assessment, 77, 475–490.

    Article  PubMed  Google Scholar 

  • Gutierrez, P. M., Osman, A., Kopper, B. A., & Barrios, F. X. (2004). Appropriateness of the multi-attitude suicide tendency scale for non-white individuals. Assessment, 11, 73–84.

    Article  PubMed  Google Scholar 

  • Hu, L. T., & Bentler, P. M. (1995). Evaluating model fit. In R.H. Hoyle (Ed.), Structural Equation Modeling: Concepts, Issues and Applications (pp. 76–99). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.

    Article  Google Scholar 

  • Jacobson, C. M., & Gould, M. (2007). The epidemiology and phenomenology of non-suicidal self-injurious behavior among adolescents: a critical review of the literature. Archives of Suicide Research, 11, 129–147.

    Article  PubMed  Google Scholar 

  • Jobes, D. A. (2006). Managing suicidal risk: A collaborative approach. New York: Guilford.

    Google Scholar 

  • Joiner, T. E., Walker, R. L., Rudd, M. A., & Jobes, D. A. (1999). Scientizing and routinizing the assessment of suicidiality in outpatient practice. Professional Psychology: Research and Practice, 30, 447–453.

    Article  Google Scholar 

  • Jöreskog, K. G., & Sörbom, D. (1996). LISREL 8.5: User’s reference guide. Chicago, IL: Scientific Software International.

    Google Scholar 

  • Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford.

    Google Scholar 

  • Knight, G. P., & Hill, N. E. (1998). Measurement equivalence in research involving minority adolescents. In V. C. McLoyd, & L. Steinberg (Eds.), Studying minority adolescents: Conceptual, methodological, and theoretical issues (pp. 183–210). Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Laye-Gindhu, A., & Schonert-Reichl, K. A. (2005). Nonsuicidal self-harm among community adolescents: Understanding the “whats” and “whys” of self-harm. Journal of Youth and Adolescence, 34, 447–457.

    Article  Google Scholar 

  • Linehan, M. M., Comtois, K. A., Brown, M. Z., Heard, H. L., & Wagner, A. (2006). Suicide attempt self-injury interview (SASII): development, reliability, and validity of a scale to assess suicide attempts and intentional self-injury. Psychological Assessment, 18, 301–312.

    Article  Google Scholar 

  • Lloyd, E. E., Kelley, M. L., & Hope, T. (1997). Self-mutilation in a community sample of adolescents: Descriptive characteristics and provisional prevalence rates. Poster presented at the annual meeting of the Society for Behavioral Medicine, New Orleans, LA.

  • Lloyd-Richardson, E. E., Perrine, N., Dierker, L., & Kelley, M. L. (2007). Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine, 37, 1183–1192.

    Article  PubMed  Google Scholar 

  • Morrison, L. L., & Downey, D. L. (2000). Racial differences in self-disclosure of suicidal ideation and reasons for living: implications for training. Cultural Diversity and Ethnic Minority Psychology, 6, 374–386.

    Article  PubMed  Google Scholar 

  • Muehlenkamp, J. J. (2005). Self-injurious behavior as a separate clinical syndrome. American Journal of Orthopsychiatry, 75, 324–333.

    Article  PubMed  Google Scholar 

  • Muehlenkamp, J. J., & Gutierrez, P. M. (2004). An investigation of differences between self- injurious behavior and suicide attempts in a sample of adolescents. Suicide and Life- Threatening Behavior, 34, 12–23.

    Article  PubMed  Google Scholar 

  • Muehlenkamp, J. J., & Gutierrez, P. M. (2007). Risk for suicide attempts among adolescents who engage in non-suicidal self-injury. Archives of Suicide Research, 11, 1–14.

    Article  Google Scholar 

  • Muehlenkamp, J. J., Gutierrez, P. M., Osman, A., & Barrios, F. X. (2005). Validation of the positive and negative suicide ideation (PANSI) inventory in a diverse sample of young adults. Journal of Clinical Psychology, 61, 431–445.

    Article  PubMed  Google Scholar 

  • Nock, M. K., & Prinstein, M. J. (2004). A functional approach to the assessment of self-mutilative behavior. Journal of Consulting and Clinical Psychology, 72, 885–890.

    Article  PubMed  Google Scholar 

  • Nock, M. K., & Kessler, R. C. (2006). Prevalence of and risk factors for suicide attempts versus suicide gestures: analysis of the national comorbidity survey. Journal of Abnormal Psychology, 115, 616–623.

    Article  PubMed  Google Scholar 

  • Nock, M. K., & Mendes, W. B. (2008). Physiological arousal, distress tolerance, and social problem–solving deficits among adolescent self-injurers. Journal of Consulting and Clinical Psychology, 76, 28–38.

    Article  PubMed  Google Scholar 

  • Nock, M. K., Holmberg, E. B., Photos, V. I., & Michel, B. D. (2007). Self-injurious thoughts and behaviors interview: development, reliability, and validity in an adolescent sample. Psychological Assessment, 19, 309–317.

    Article  PubMed  Google Scholar 

  • Osman, A., Downs, W. R., Kopper, B. A., Barrios, F. X., Besett, T. M., Linehan, M. M., et al. (1998). The reasons for living inventory for adolescents (RFL-A): development and psychometric properties. Journal of Clinical Psychology, 54, 1063–1078.

    Article  PubMed  Google Scholar 

  • Prinstein, M. J., Nock, M. K., Simon, V., Aikins, J. W., Cheah, C. S. L., & Spirito, A. (2008). Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization. Journal of Consulting and Clinical Psychology, 76, 92–103.

    Article  PubMed  Google Scholar 

  • Range, L. M. (2005). The family of instruments that assess suicide risk. Journal of Psychopathology and Behavioral Assessment, 27, 133–140.

    Article  Google Scholar 

  • Range, L. M., & Knott, E. C. (1997). Twenty suicide assessment instruments: evaluation and recommendation. Death Studies, 21, 25–58.

    Article  PubMed  Google Scholar 

  • Reynolds, W. M. (1987). Reynolds Adolescent Depression Scale: Professional manual. Odessa, FL: Psychological Assessment Resources.

    Google Scholar 

  • Reynolds, W. M. (1988). Suicide Ideation Questionnaire: Professional manual. Odessa, FL: Psychological Assessment Resources.

    Google Scholar 

  • Reynolds, W. M. (2002). Reynolds Adolescent Depression Scale (2nd ed.). Lutz, FL: Psychological Assessment Resources, Inc.

    Google Scholar 

  • Ross, S., & Heath, N. (2002). A study of the frequency of self-mutilation in a community sample of adolescents. Journal of Youth and Adolescence, 31, 67–77.

    Article  Google Scholar 

  • Rossow, I., Ystgaard, M., Hawton, K., Madge, N., Van Heeringen, K., De Wilde, E. J., et al. (2007). Cross-national comparisons of the association between alcohol consumption and deliberate self-harm in adolescents. Suicide and Life-Threatening Behavior, 37, 605–615.

    Article  PubMed  Google Scholar 

  • Sansone, R. A., Wiederman, M. W., & Sansone, L. A. (1998). The self-harm inventory (SHI): development of a scale for identifying self-destructive behaviors and borderline personality disorder. Journal of Clinical Psychology, 54, 973–983.

    Article  PubMed  Google Scholar 

  • Silverman, M. M., Berman, A. L., Sanddal, N. D., O’Carroll, P. W., & Joiner, T. E. (2007). Rebuilding the tower of Babel: a revised nomenclature for the study of suicide and suicidal behaviors Part 2: Suicide-related ideations, communications and behaviors. Suicide and Life-Threatening Behavior, 37, 264–277.

    Article  PubMed  Google Scholar 

  • Tigges, B. B. (2003). Parental consent and adolescent risk behavior research. Journal of Nursing Scholarship, 35, 283–289.

    Article  PubMed  Google Scholar 

  • Walsh, B. W. (2006). Treating self-injury: A practical guide. New York: Guilford.

    Google Scholar 

  • Watt, T. T., & Sharp, S. F. (2002). Race differences in strains associated with suicidal behavior among adolescents. Youth & Society, 34, 232–256.

    Article  Google Scholar 

  • Whitlock, J., & Knox, K. L. (2007). The relationship between self-injurious behavior and suicide in a young adult population. Archives of Adolescent and Pediatric Medicine, 161, 634–640.

    Article  Google Scholar 

  • Whitlock, J., Eckenrode, J., & Silverman, D. (2006). Self-injurious behaviors in a college population. Pediatrics, 117, 1939–1948.

    Article  PubMed  Google Scholar 

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Correspondence to Jennifer J. Muehlenkamp.

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Muehlenkamp, J.J., Cowles, M.L. & Gutierrez, P.M. Validity of the Self-Harm Behavior Questionnaire with Diverse Adolescents. J Psychopathol Behav Assess 32, 236–245 (2010). https://doi.org/10.1007/s10862-009-9131-7

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