The Screen for Nonsuicidal Self-Injury: Development and initial validation among veterans with psychiatric disorders.

The Screen for Nonsuicidal Self-Injury: Development and initial validation among veterans with psychiatric disorders.
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非自杀性自伤的筛查:在患有精神疾病的退伍军人中的发展和初步验证。

DOI:
10.1111/sltb.12847
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发表时间:
2022-08
影响因子:
3.2
通讯作者:
Kimbrel, Nathan A.
Kimbrel, Nathan A.
中科院分区:
医学2区
文献类型:
--
作者:
Halverson, Tate F.;Patel, Tapan A.;Mann, Adam J. D.;Evans, Mariah K.;Gratz, Kim L.;Beckham, Jean C.;Calhoun, Patrick S.;Kimbrel, Nathan A.

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非自杀性自我伤害(NSSI)与严重的精神损害有关,是自杀意念、自杀企图和自杀死亡的有力预测因子;然而,目前缺乏一种简单的NSSI筛查工具,再加上对NSSI的一致认识不足,导致了人们对NSSI漏认率的担忧。方法非自杀性自我伤害筛查(SNSI)是一种简短的10项筛查,旨在识别目前参与NSSI的个人,重点强调男性更频繁认可的行为。结果在一个有复杂精神症状的退伍军人样本(N=8124)中,SNSI得分表现出良好的内部一致性和较强的结构效度,曲线下面积(AUC)估计为0.85-0.93。SNSI得分也表现出良好的趋同性(rS=0.59~0.90)和外部效度(rS=0.0.25~0.42),以及良好的预测效度,可以识别未来的NSSI自杀和危及生命的行为障碍(AUC=0.88)和NSSI行为(AUC=0.90)。重要的是,SNSI的表现不受参与者的种族、出生时的性别或年龄的影响。结论SNSI是一种有效的筛查方法,可以确定哪些患者可能从更全面的评估和治疗计划中受益。
IntroductionNonsuicidal self‐injury (NSSI) is associated with significant impairment and is a robust predictor of suicidal ideation, attempts, and death by suicide; however, the present lack of a brief screening instrument for NSSI coupled with consistent underidentification of NSSI in male adults has led to concerning rates of missed identification of NSSI.MethodsThe Screen for Nonsuicidal Self‐Injury (SNSI) is a brief, 10‐item screen designed to identify individuals currently engaging in NSSI with an emphasis on behaviors more frequently endorsed by male adults. The present study examined the development and validation of the SNSI.ResultsIn a sample of veterans (N= 124) with complex psychiatric presentations, SNSI scores demonstrated good internal consistency and strong construct validity with area under the curve (AUC) estimates of 0.85–0.93 for the identification of NSSI disorder. SNSI scores also demonstrated good convergent (rs 0.59–0.90) and external validity (rs = 0.25–0.42), and excellent predictive validity identifying future NSSI Suicide and Life‐Threatening Behavior disorder (AUC = 0.88) and NSSI behaviors (AUC = 0.90). Importantly, SNSI performance was not affected by participants’ race, sex assigned at birth, or age.ConclusionThe SNSI is an efficient screen to identify patients engaging in NSSI who are likely to benefit from more comprehensive assessment and treatment programs.
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