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Measurement of Deliberate Self-Harm: Preliminary Data on the Deliberate Self-Harm Inventory

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Abstract

Deliberate self-harm has recently begun to receive more systematic attention from clinical researchers. However, there remains a general lack of consensus as to how to define and measure this important clinical construct. There is still no standardized, empirically validated measure of deliberate self-harm, making it more difficult for research in this area to advance. The present paper provides an integrative, conceptual definition of deliberate self-harm as well as preliminary psychometric data on a newly developed measure of self-harm, the Deliberate Self-Harm Inventory (DSHI). One hundred and fifty participants from undergraduate psychology courses completed research packets consisting of the DSHI and other measures, and 93 of these participants completed the DSHI again after an interval of 2–4 weeks (M = 3.3 weeks). Preliminary findings indicate that the DSHI has high internal consistency; adequate construct, convergent, and discriminant validity; and adequate test-retest reliability.

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REFERENCES

  • Baral, I., Kora, K., Yuksel, S., & Sezgin, U. (1998). Self-mutilating behavior of sexually abused female adults in Turkey. Journal of Interpersonal Violence, 13, 427-437.

    Google Scholar 

  • Barstow, D. G. (1995). Self-injury and self-mutilation: Nursing approaches. Journal of Psychosocial Nursing, 33, 19-22.

    Google Scholar 

  • Boudewyn, A. C., & Liem, J. H. (1995a). Childhood sexual abuse as a precursor to depression and self-destructive behavior in adulthood. Journal of Traumatic Stress, 8, 445-459.

    PubMed  Google Scholar 

  • Boudewyn, A. C., & Liem, J. H. (1995b). Mental health history form. Unpublished measure, University of Massachusetts Boston.

  • Brodsky, B. S., Cloitre, M., & Dulit, R. A. (1995). Relationship of dissociation to self-mutilation and childhood abuse in borderline personality disorder. American Journal of Psychiatry, 152, 1788-1792.

    PubMed  Google Scholar 

  • Conterio, K., & Lader, W. (1998). Bodily harm. New York: Hyperion.

    Google Scholar 

  • Crowne, D., & Marlowe, D. (1960). A new scale of social desirability independent of psychopathology. Journal of Consulting Psychology, 4, 349-354.

    Google Scholar 

  • Demitrack, M. A., Putnam, F. W., Brewerton, T. D., Brandt, H. A., & Gold, P. W. (1990). Relation of clinical variables to dissociative phenomena in eating disorders. American Journal of Psychiatry, 147, 1184-1188.

    PubMed  Google Scholar 

  • Dubo, E. D., Zanarini, M. C., Lewis, R. E., & Williams, A. A. (1997). Childhood antecedents of self-destructiveness in borderline personality disorder. Canadian Journal of Psychiatry, 42, 63-69.

    Google Scholar 

  • Dulit, R. A., Fyer, M. R., Leon, A. C., Brodsky, B. S., & Frances, A. J. (1994). Clinical correlates of self-mutilation in borderline personality disorder. American Journal of Psychiatry, 151, 1305-1311.

    PubMed  Google Scholar 

  • Dutton, D. G. (1994). Behavioral and affective correlates of borderline personality organization in wife assaulters. International Journal of Law and Psychiatry, 17, 265-277.

    PubMed  Google Scholar 

  • Favazza, A. R. (1989). Normal and deviant self-mutilation: An essay review. Transcultural Psychiatric Research, 26, 113-127.

    Google Scholar 

  • Favazza, A. R. (1992). Repetitive self-mutilation. Psychiatric Annals, 22, 60-63.

    Google Scholar 

  • Favazza, A. R. (1998). The coming of age of self-mutilation. Journal of Nervous and Mental Disease, 186, 259-268.

    PubMed  Google Scholar 

  • Favazza, A. R., & Conterio, K. (1989). Female habitual self-mutilators. Acta Psychiatrica Scandinavica, 79, 283-289.

    PubMed  Google Scholar 

  • Feldman, M. D. (1988). The challenge of self-mutilation: A review. Comprehensive Psychiatry, 29, 252-269.

    PubMed  Google Scholar 

  • Goddard, N., Subotsky, F., & Fombonne, E. (1996). Ethnicity and adolescent deliberate self-harm. Journal of Adolescence, 19, 513-521.

    PubMed  Google Scholar 

  • Gratz, K. L., Conrad, S. D., & Roemer, L. (in press). Risk factors for deliberate self-harm among female and male college students. American Journal of Orthopsychiatry.

  • Gupta, K., Sivakumar, K., & Smeeton, N. (1995). Deliberate self-harm: Acomparison of first-time cases and cases with a prior history. Irish Journal of Psychological Medicine, 12, 131-134.

    Google Scholar 

  • Haines, J., & Williams, C. L. (1997). Coping and problem solving of self-mutilators. Journal of Clinical Psychology, 53, 177-186.

    PubMed  Google Scholar 

  • Haynes, S. N., Richard, D. C. S., & Kubany, E. S. (1995). Content validity in psychological assessment:Afunctional approach to concepts and methods. Psychological Assessment, 7, 238-247.

    Google Scholar 

  • Kehrberg, C. (1997). Self-mutilating behavior. Journal of Child and Adolescent Psychiatric Nursing, 10(3), 35-40.

    PubMed  Google Scholar 

  • Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.

    Google Scholar 

  • Martin, G., & Waite, S. (1994). Parental bonding and vulnerability to adolescent suicide. Acta Psychiatrica Scandinavica, 89, 246-254.

    PubMed  Google Scholar 

  • Myers, E. D. (1988). Predicting repetition of deliberate self-harm: A review of the literature in the light of a current study. Acta Psychiatrica Scandinavica, 77, 314-319.

    PubMed  Google Scholar 

  • Nunnally, J. C. (1970). Introduction to psychological measurement. New York: McGraw-Hill.

    Google Scholar 

  • O'Carroll, P.W., Berman, A. L., Maris, R.W., Moscicki, E. K., Tanney, B. L., & Silverman, M. M. (1996). Beyond the tower of Babel: A nomenclature for suicidology. Suicide and Life-Threatening Behavior, 26, 237-252.

    PubMed  Google Scholar 

  • Oldham, J., Clarkin, J., Applebaum, A., Carr, A., Kernberg, P., Lotterman, A., et al., (1985). A self report instrument for borderline personality organization. In T. H. McGlashan (Ed.), The borderline: Current empirical research. The progress in psychiatry series. Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Pattison, E. M., & Kahan, J. (1983). The deliberate self-harm syndrome. American Journal of Psychiatry, 140, 867-872.

    PubMed  Google Scholar 

  • Pettigrew, J., & Burcham, J. (1997). Characteristics of childhood sexual abuse and adult psychopathology in female psychiatric patients. Australian and New Zealand Journal of Psychiatry, 31, 200-207.

    PubMed  Google Scholar 

  • Pillay, A. L., & Pillay, Y. G. (1987). A study of deliberate self-harm at a Pietermaritzburg general hospital. South African Medical Journal, 72, 258-259.

    PubMed  Google Scholar 

  • Romans, S. E., Martin, J. L., Anderson, J. C., Herbison, G. P., & Mullen, P. E. (1995). Sexual abuse in childhood and deliberate self-harm. American Journal of Psychiatry, 152, 1336-1342.

    PubMed  Google Scholar 

  • Ross, C. A., Miller, S. D., Reagor, P., Bjornson, L., Fraser, G. A., & Anderson, G. (1990). Structured interview data on 102 cases of multiple personality disorder from four centers. American Journal of Psychiatry, 147, 596-601.

    PubMed  Google Scholar 

  • Sabo, A. N., Gunderson, J. G., Najavits, L. M., Chauncey, D., & Kisiel, C. (1995). Changes in self-destructiveness of borderline patients in psychotherapy: A prospective follow-up. Journal of Nervous and Mental Disease, 183, 370-376.

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  • Schaffer, C. B., Carroll, J., & Abramowitz, S. I. (1982). Self-mutilation and the borderline personality. Journal of Nervous and Mental Disease, 170, 468-473.

    PubMed  Google Scholar 

  • Simeon, D., Stanley, B., Frances, A., Mann, J. J., Winchel, R., & Stanley, M. (1992). Self-mutilation in personality disorders: Psychological and biological correlates. American Journal of Psychiatry, 149, 221-226.

    PubMed  Google Scholar 

  • Suyemoto, K. L. (1998). The functions of self-mutilation. Clinical Psychology Review, 18, 531-554.

    PubMed  Google Scholar 

  • Tantam, D., & Whittaker, J. (1992). Personality disorder and selfwounding. British Journal of Psychiatry, 161, 451-464.

    Google Scholar 

  • van der Kolk, B. A. (1996). The complexity of adaptation to trauma: Self-regulation, stimulus discrimination, and characterological development. In B. A. van der Kolk, A. C. McFarlane, & L.Weisaeth (Eds.), Traumatic stress: The effects of overwhelming experience on mind, body, and society (pp. 182-213). New York: Guilford Press.

    Google Scholar 

  • Walsh, B.W., & Rosen, P. M. (1988). Self-mutilation: Theory, research, and treatment. New York: Guilford Press.

    Google Scholar 

  • Winchel, R. M., & Stanley, M. (1991). Self-injurious behavior: A review of the behavior and biology of self-mutilation. America Journal of Psychiatry, 148, 306-317.

    Google Scholar 

  • Zanarini, M. C., Gunderson, J. G., Frankenburg, F. R., & Chauncey, D. L. (1989). The revised diagnostic interview for borderlines: Discriminating BPD from other axis II disorders. Journal of Personality Disorders, 3, 10-18.

    Google Scholar 

  • Zlotnick, C., Shea, T. M., Pearlstein, T., Simpson, E., Costello, E., & Begin, A. (1996). The relationship between dissociative symptoms, alexithymia, impulsivity, sexual abuse, and self-mutilation. Comprehensive Psychiatry, 37, 12-16.

    PubMed  Google Scholar 

  • Zweig-Frank, H., Paris, J., & Guzder, J. (1994a). Psychological risk factors and self-mutilation in male patients with BPD. Canadian Journal of Psychiatry, 39, 266-268.

    Google Scholar 

  • Zweig-Frank, H., Paris, J., & Guzder, J. (1994b). Psychological risk factors for dissociation and self-mutilation in female patients with borderline personality disorder. Canadian Journal of Psychiatry, 39, 259-264.

    Google Scholar 

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Gratz, K.L. Measurement of Deliberate Self-Harm: Preliminary Data on the Deliberate Self-Harm Inventory. Journal of Psychopathology and Behavioral Assessment 23, 253–263 (2001). https://doi.org/10.1023/A:1012779403943

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