
@article{ref1,
title="The Self-Harm Inventory (SHI): development of a scale for identifying self-destructive behaviors and borderline personality disorder",
journal="Journal of clinical psychology (Hoboken)",
year="1998",
author="Sansone, R. A. and Wiederman, M. W. and Sansone, L. A.",
volume="54",
number="7",
pages="973-983",
abstract="Intentional self-harm behavior is an important clinical phenomenon that appears highly related to borderline personality disorder (BPD). Self-harm behavior in the context of borderline personality probably exists along a continuum from graphic, self-harm behavior to milder forms of self-sabotaging behavior that might be viewed as self-defeating Relatively little attention has been paid to developing a self-report measure of intentional self-harm, particularly as a screening device for detecting BPD. In Study 1, an initial list of self-harm behaviors encountered in clinical practice was narrowed to those behaviors related to BPD in a sample comprised of adults from both a mental health and non-mental health setting. All participants (N = 221) underwent a semistructured diagnostic interview for BPD. Using a cut-off score of 5 on the resulting 22-item Self-Harm Inventory (SHI), 83.7% of research participants were correctly classified as having BPD or not. In Study 2, women (N = 285) sampled from an outpatient medical setting completed the SHI and a widely used self-report measure of BPD. The SHI cut-off score resulted in correct classification of 87.9% of the individuals. In Study 3, using a sample of adults involuntarily hospitalized for psychiatric reasons (N = 32), the SHI performed at least as well as another self-report measure of BPD in diagnosing participants (the final diagnosis was based on a semistructured interview). The results are discussed with regard to potential advantages and utility of the SHI and need for further validation.<p /><p>Language: en</p>",
language="en",
issn="0021-9762",
doi="10.1002/(sici)1097-4679(199811)54:7<973::aid-jclp11>3.0.co;2-h",
url="http://dx.doi.org/10.1002/(sici)1097-4679(199811)54:7<973::aid-jclp11>3.0.co;2-h"
}