The German version of the self-injurious thoughts and behaviors interview (SITBI-G): a tool to assess non-suicidal self-injury and suicidal behavior disorder
The German version of the self-injurious thoughts and behaviors interview (SITBI-G): a tool to assess non-suicidal self-injury and suicidal behavior disorder
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DOI：
10.1186/s12888-014-0265-0
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发表时间：
2014-09-18
期刊：
影响因子：
4.4
通讯作者：
Kaess, Michael
中科院分区：
文献类型：
--
作者：
Fischer, Gloria;Ameis, Nina;Kaess, Michael
背景：自我伤害的想法和行为（SITBs）在青少年中很常见。虽然目前在德语中还没有标准化的访谈来评估SITB，但自我伤害思想和行为访谈（SITBI）在英语国家被广泛使用。然而，SITBI尚未被验证用于评估最近发布的DSM-5第3节非自杀性自伤（NSSI）和自杀行为障碍（SBD）的诊断。在本研究中，德国版的SITBI（SITBI-G）的心理测量特性进行了评估。我们还评估了SITBI-G是否是一个可靠和有效的工具，以建立诊断的NSSI和SBD.Methods：临床青少年样本（N = 111，F/M= 73/38，年龄范围= 12-19岁）被招募从住院部的三个部门的儿童和青少年精神病学在德国。采用SITBI-G量表对所有参与研究的患者进行访谈，并根据SITBI-G量表的数据对DSM-5的NSSI和SBD标准进行操作。结果：SITBI-G的重测信度、评价者间信度和结构效度均达到中等偏上水平，结构效度较好。结果表明，诊断的NSSI和SBD可以建立使用SITBI-G，实现中度到良好的重测信度和非常好的完美interrater reliabilities.Conclusions：总体而言，良好的心理测量特性的SITBI-G是可比的原始版本的采访。因此，SITBI-G似乎非常适合评估SITB，包括新的DSM-5第3节在研究和临床背景下诊断NSSI和SBD。
Background: Self-injurious thoughts and behaviors (SITBs) are common in adolescents. While there is no standardized interview in German to assess SITBs to date, the Self-Injurious Thoughts and Behaviors Interview (SITBI) is widely used in English-speaking countries. However, the SITBI has not been validated for the assessment of the recently issued DSM-5 Section 3 diagnoses of nonsuicidal self-injury (NSSI) and suicidal behavior disorder (SBD) yet. In the present study the psychometric properties of the German version of the SITBI (SITBI-G) were assessed. We also evaluated whether SITBI-G is a reliable and valid instrument to establish diagnoses of NSSI and SBD.Methods: A clinical adolescent sample (N = 111, f/m= 73/38, age range = 12-19 years) was recruited from the inpatient units of three departments of child and adolescent psychiatry in Germany. All participating patients were interviewed by using the SITBI-G, and DSM-5 criteria of NSSI and SBD were operationalized from the SITBI-G data. Additionally, participants were given the Self-Harm Behavior Questionnaire (SHBQ), and SITBI-G was retested in a subsample.Results: The SITBI-G shows moderate to good test-retest reliability, a very good interrater reliability, and a good construct validity. The results demonstrate that diagnoses of NSSI and SBD can be established using the SITBI-G, achieving moderate to good test-retest reliabilities and very good to perfect interrater reliabilities.Conclusions: Overall, the good psychometric properties of SITBI-G are comparable to the original version of the interview. Therefore, SITBI-G seems to be highly appropriate to assess SITBs, including the new DSM-5 Section 3 diagnoses NSSI and SBD in research and clinical contexts.