Adolescents Self-Harm Scale – Chinese Version

Description

This article discusses the historical context and definitions surrounding self-harm behaviors, emphasizing the complexity and divergence in terminology across different fields of study. It outlines the various classifications of self-harm, the assessment tools used, and the implications for research and clinical practice.

Authors and Contact Email

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Purpose

The purpose of this study is to explore the definitions, classifications, and assessment of self-harm behaviors, highlighting the differing terminologies and their implications for research across various fields such as psychology, sociology, and psychiatry.

Test Year

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Administration Method and Scoring

The assessment of self-harm behaviors is conducted using the Adolescents Self-Harm Scale, which comprises 19 items, including 18 closed-ended questions and 1 open-ended question. The frequency of self-harm behaviors is calculated alongside the average degree of harm, using a product of the two to determine an individual’s comprehensive self-harm level. The scoring for self-harm frequency includes four levels: 0 次 (0 times), 1 次 (1 time), 2-4 次 (2-4 times), and 5 次以上 (5 times or more), with a scoring range of 0-3. The average harm degree is assessed with five levels: 无 (none), 轻 (mild), 中 (moderate), 重 (severe), and 极重 (extremely severe), scored from 0-4.

Reliability and Validity

The internal consistency reliability of the questionnaire was found to be 0.85, with a correlation coefficient of 0.51 compared to the National Middle School Students’ Self-Harm Questionnaire.

Factors and Subscales

Self-harm behaviors can be categorized based on their functions into self-directed self-harm and other-directed self-harm. The clinical perspective divides self-harm into stereotypic, major, and moderate/superficial self-harm.

Keywords

Self-harm, adolescents, behavioral assessment, mental health

Items in Chinese

1. 故意用玻璃、小刀等划伤自己皮肤
2. 故意戳开伤口，阻止伤口愈合
3. 故意用烟头、打火机或其他东西烧烫自己的皮肤
4. 故意在身上刺字或图案（刺青除外）
5. 故意把自己的皮肤刮出血
6. 故意把东西刺入皮肤里或插入指甲下
7. 故意用头撞击某物，以至出现瘀伤
8. 故意拔自己的头发
9. 故意用手打墙或玻璃等较硬物体
10. 故意猛烈的乱抓自己，达到有伤痕或流血的程度
11. 故意用针、钉子或其他东西把身体扎出血
12. 故意把皮肤擦出血
13. 故意捶打自己以至出瘀伤
14. 故意用绳子或其他东西勒住手腕等部位
15. 故意让他人打自己或咬自己，以伤害自己的身体
16. 故意在没有生命危险的情况下，让自己触电
17. 故意咬自己以至皮肤破损
18. 故意在手里点火或触摸火焰
19. 其他没有提到的伤害自己的方式可在右侧写出

Items in English

1. Deliberately cutting your skin with glass, a knife, etc.
2. Deliberately reopening a wound to prevent it from healing
3. Deliberately burning your skin with a cigarette butt, lighter, or other items
4. Deliberately tattooing or drawing on your skin (excluding tattoos)
5. Deliberately scraping your skin to the point of bleeding
6. Deliberately stabbing your skin or inserting something under your nails
7. Deliberately hitting your head against something hard, causing bruising
8. Deliberately pulling out your hair
9. Deliberately hitting a wall or other hard objects with your hand
10. Deliberately scratching yourself to the point of scarring or bleeding
11. Deliberately pricking your body with a needle, nail, or other object to draw blood
12. Deliberately rubbing your skin until it bleeds
13. Deliberately hitting yourself to the point of bruising
14. Deliberately tying a rope or other object around your wrist or other parts of your body
15. Deliberately allowing another person to hit or bite you to cause bodily harm
16. Deliberately allowing yourself to be shocked without life-threatening risk
17. Deliberately biting yourself to the point of skin damage
18. Deliberately setting fire to yourself or touching a flame
19. Any other method of self-harm not mentioned above can be noted on the right side

References

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罗彦子.社会排斥对初中生自我伤害的影响研究[D].江西师范大学,2020.DOI:10.27178/d.cnki.gjxsu.2020.000469
于丽霞.一样自伤两样人：自伤青少年的分类研究[D].华中师范大学,2013.
覃雅兰.羞耻、内疚与青少年自伤行为的关系[D].湖南师范大学,2017.