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Measuring self-harm in adults: a systematic review.
R Borschmann1, J Hogg, R Phillips
1King's College London, Institute of Psychiatry, London, UK. rohan.borschmann@kcl.ac.uk
Summary
This review identified seven validated instruments for measuring adult self-harming behavior. The Suicide Attempt Self-Injury Interview (SASII) is the most robust, but a standardized measure is still needed.
Area of Science:
- Psychiatry
- Psychology
- Clinical Assessment
Background:
- Self-harming behavior in adults is a significant clinical concern.
- Accurate measurement is crucial for effective intervention and research.
Purpose of the Study:
- To systematically identify and critically evaluate validated instruments for measuring adult self-harming behavior.
- To assess the psychometric properties and utility of existing measures.
Main Methods:
- Comprehensive literature search across multiple databases (Medline, Embase, PsycInfo, etc.).
- Inclusion of grey literature and reference list checking.
- Data extraction on instrument format, administration, psychometrics, and content.
Main Results:
- Seven validated instruments met inclusion criteria, exhibiting considerable variation in quality.
- The Suicide Attempt Self-Injury Interview (SASII) emerged as the most robust and comprehensive.
- Fourteen additional instruments were excluded due to lack of published psychometric data.
Conclusions:
- A limited number of validated instruments with published psychometric properties are available for measuring self-harm.
- There is a critical need for a standardized, empirically validated, and versatile measure for clinical and research use.
- The characteristics of an optimal self-harm assessment instrument are discussed.
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