Talk:Evidence-based assessment/Self harm (assessment portfolio)

Audit Log: 2022
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Comparison of screening measures
Differences between types of NSSI measures Recommendations
 * 1) Omnibus Measures
 * 2) * Assess several NSSI domains
 * 3) * These tests are the most comprehensive compared to other measures
 * 4) Functional Measures
 * 5) * Helpful for understanding why people self-injure
 * 6) * These tests assess motives for, or functions of, NSSI
 * 7) Behavioral Measures
 * 8) * Primarily assess one's history of NSSI behaviors
 * 9) * These measures are useful for assessment methods used and NSSI frequency
 * 10) Brief Measures
 * 11) * Include a single item or a few items to assess NSSI
 * 12) * These may be best when conducting a brief assessment
 * Omnibus measures are highly recommended over all other types of measures.
 * The SITBI is the best clinical interview for assessing adolescent NSSI
 * The SASII was designed to assess NSSI among adults.

Questions?
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Comments
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DSM 5 criteria and diagnostic changes
Whereas in DSM-IV non-suicidal self-injury (NSSI) was considered a symptom of borderline personality disorder (BPD), in the revised manual it is recognized as a distinct condition. Research suggests that NSSI can occur independent of BPD, such as in patients with depression or even in those with no other diagnosable psychopathology. In the newest version of the manual (DSM-IV), non-suicidal self-injury (NSSI) is listed as a "condition for further study." The proposed preliminary criteria for NSSI are as follows:


 * 5 or more days of intentional self-inflicted damage to the surface of the body likely to induce bleeding, bruising, or pain (e.g., cutting, burning, stabbing, hitting, excessive rubbing), with the expectation that the injury will lead to only minor or moderate physical harm (i.e., without suicidal intent) within the past year.

Note: The absence of suicidal intent has either been stated by the individual or can be inferred by the individual's repeated engagement in a behavior that the individual knows, or       has learned, is not likely to result in death.


 * Patients also must engage in the self-injurious behavior with at least 1 of the following expectations:
 * to seek relief from a negative feeling or cognitive state
 * to resolve an interpersonal difficulty
 * to induce a positive state
 * The behavior must also be associated with 1 of the following criteria:
 * interpersonal difficulty or negative feelings and thoughts (eg, depression, anxiety)
 * preoccupation with the intended behavior that is difficult to control
 * ruminating on (non-suicidal) self-injury frequently, even when not acted upon
 * The behavior must cause clinically significant distress or interference in interpersonal, academic, or other important areas of functioning.
 * The behavior can not be better explained by another mental disorder or medical condition.

Socially sanctioned behaviors, like body piercing and tattooing, do not qualify for the diagnosis, nor do scab picking or nail biting. Important to note is that patients who express suicidal behavior within the past 24 months, but who don't qualify for another psychiatric disorder, now fall under the new "suicidal behavior" diagnosis category.

Suicide assessment
We should rework this page as a self harm one, and include suicide assessment measures, such as:

https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials/index.shtml

DLR
Add diagnostic ratios for interviews when possible!

Eyoungstrom (discuss • contribs) 14:31, 15 May 2019 (UTC)