Autolesion no suicidaconceptualización y evaluación clínica en población hispanoparlante

  1. Juan Faura-Garcia 1
  2. Esther Calvete Zumalde 1
  3. Izaskun Orue Sola 1
  1. 1 Universidad de Deusto, España
Revista:
Papeles del psicólogo

ISSN: 0214-7823 1886-1415

Año de publicación: 2021

Volumen: 42

Número: 3

Páginas: 207-214

Tipo: Artículo

DOI: 10.23923/PAP.PSICOL.2964 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Papeles del psicólogo

Objetivos de desarrollo sostenible

Resumen

La Autolesión No Suicida (ANS) ha variado su conceptualización y evaluación a lo largo de los años. El conocimiento clínico sobre ANS depende de la evaluación y muestra investigada. Sin embargo, la mayoría de revisiones al respecto no cuentan con muestras hispanoparlantes. Este estudio trata de revisar el concepto y la evaluación clínica de ANS en población hispanoparlante desde un punto de vista comprensivo. Mediante revisión sistemática, incluyendo literatura gris, se encontraron 8 instrumentos validados en muestras hispanoparlantes. Se describen en cuanto a su desarrollo, formato, características que mide, aplicabilidad clínica y psicométricos. Siendo mayoría las adaptaciones en adolescentes comunitarios, destaca la creación y adaptación en mexicanos. Aunque con potencial clínico, no son instrumentos suficientemente probados en la intervención de la ANS. Finalmente se discute la evaluación de ANS hispanoparlante y sus posibles mejoras.

Información de financiación

This research has been supported by a grant from the Government of Spain (Ref. FPU17 / 05831), the Government of the Basque Country (Ref. IT982-16) and the Alicia Koplowitz Foundation.

Financiadores

Referencias bibliográficas

  • Albores-Gallo, L., Méndez-Santos, J. L., Luna, A. X.-G., Delgadillo González, Y., Chávez-Flores, C. I., & Martínez, O. L. (2014). Autolesiones sin intención suicida en una muestra de niños y adolescentes de la ciudad de México. Actas Españolas de Psiquiatría, 42(4), 159–168.
  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5TM, 5th ed. American Psychiatric Association. https://doi.org/10.1176/appi.books.9780890425596
  • Brunner, R., Kaess, M., Parzer, P., Fischer, G., Carli, V., Hoven, C. W., Wasserman, C., Sarchiapone, M., Resch, F., Apter, A., Balazs, J., Barzilay, S., Bobes, J., Corcoran, P., Cosmanm, D., Haring, C., Iosuec, M., Kahn, J.-P., Keeley, H., … Wasserman, D. (2014). Life-time prevalence and psychosocial correlates of adolescent direct self-injurious behavior: A comparative study of findings in 11 European countries. Journal of Child Psychology and Psychiatry, 55(4), 337– 348. https://doi.org/10.1111/jcpp.12166
  • Calvete, E., Orue, I., Aizpuru, L., & Brotherton, H. (2015). Prevalence and functions of non-suicidal self-injury in Spanish adolescents. Psicothema, 27(3), 223–228. https://doi.org/10.7334/psicothema2014.262
  • Carvalho, C. B., Nunes, C., Castilho, P., da Motta, C., Caldeira, S., & Pinto-Gouveia, J. (2015). Mapping non suicidal self-injury in adolescence: Development and confirmatory factor analysis of the Impulse, Self-harm and Suicide Ideation Questionnaire for Adolescents (ISSIQ-A). Psychiatry Research, 227(2–3), 238– 245.
  • Castro, K., & Kirchner, T. (2018). Coping and Psychopathological Profile in Nonsuicidal Self-Injurious Chilean Adolescents. Journal of Clinical Psychology , 74 (1) , 147–160. https://doi.org/10.1002/jclp.22493
  • Castro Silva, E., Benjet, C., Juárez García, F., Jurado Cárdenas, S., Lucio Gómez-Maqueo, M. E., & Valencia Cruz, A. (2016). Adaptación y propiedades psicométricas del Inventory of Statements About Self-injury en estudiantes mexicanos. Acta de Inves tigación Psicológica , 6 (3) , 2544–2551. https://doi.org/10.1016/j.aipprr.2016.08.004
  • Castro Silva, E., Benjet, C., Juárez García, F., Jurado Cárdenas, S., Lucio Gómez-Maqueo, M. E., & Valencia Cruz, A. (2017). Non-suicidal self-injuries in a sample of Mexican university studen ts . Salud Menta l , 40 (5) , 191–200. https://doi.org/10.17711/SM.0185-3325.2017.025
  • Chapman, A. L., Gratz, K. L., & Brown, M. Z. (2006). Solving the puzzle of deliberate self-harm: The experiential avoidance model. Behaviour Research and Therapy , 44(3), 371–394. https://doi.org/10.1016/j.brat.2005.03.005
  • Chávez-Flores, Hidalgo-Rasmussen, C. A., & Yanez-Peñúñuri, L. Y. (2019). Assessment tools of non-suicidal self-injury in adolescents 1990-2016: a systematic review. Ciência & Saúde Coletiva, 24(8), 2871–2882. ht tps://doi.org/10.1590/1413- 81232018248.18502017
  • Chávez-Flores, Y., Hidalgo-Rasmussen, C., & González-Betanzos, F. (2018). Adaptación transcultural del cuestionario ISSIQ-A para evaluar Impulsividad, Autolesión No Suicida e Ideación Suicida en adolescentes mexicanos. Terapia Psicológica, 36(2), 91–99. https://doi.org/10.4067/S0718-48082018000200091
  • Cipriano, A., Cella, S., & Cotrufo, P. (2017). Nonsuicidal Self-injury: A Systematic Review. Frontiers in Psychology , 8 , 1946. https://doi.org/10.3389/fpsyg.2017.01946
  • Daukantaitė, D., Lundh, L.-G., Wångby-Lundh, M., Claréus, B., Bjärehed, J., Zhou, Y., & Liljedahl, S. I. (2020). What happens to young adults who have engaged in self-injurious behavior as adolescents? A 10-year follow-up. European Child & Adolescent Psychiatry. https://doi.org/10.1007/s00787-020-01533-4
  • Emiliano, I. (2014). Validación de una cédula diagnóstica de autolesiones en un hospital psiquiátrico infantil de la Ciudad de México. Universidad Nacional Autónoma de México.
  • Faura-Garcia, J., Orue, I., & Calvete, E. (2021). Clinical assessment of non-suicidal self-injury: A systematic review of instruments. Clinical Psychology & Psychotherapy , cpp.2537. https://doi.org/10.1002/cpp.2537
  • Fliege, H., Kocalevent, R.-D., Walter, O. B., Beck, S., Gratz, K. L., Gutierrez, P. M., & Klapp, B. F. (2006). Three assessment tools for deliberate self-harm and suicide behavior: evaluation and psychopathological correlates. Journal of Psychosomatic Research, 61(1), 113–121. https://doi.org/10.1016/j.jpsychores.2005.10.006
  • Fox, K. R., Franklin, J. C., Ribeiro, J. D., Kleiman, E. M., Bentley, K. H., & Nock, M. K. (2015). Meta-analysis of risk factors for nonsuicidal self-injury. Clinical Psychology Review, 42, 156–167. https://doi.org/10.1016/j.cpr.2015.09.002
  • García-Mijares, J. F., Alejo-Galarza, G. de J., Mayorga-Colunga, S. R., Guerrero-Herrera, L. F., & Ramírez-GarcíaLuna, J. L. (2015). Validación al español del Self-Harm Questionnaire para detección de autolesionismo en adolescentes. Salud Mental, 38(4), 287–292. https://doi.org/10.17711/SM.0185-3325.2015.039
  • García-Nieto, R., Blasco-Fontecilla, H., Paz Yepes, M., & Baca-García, E. (2013). Traducción y validación de la Self-Injurious Thoughts and Behaviors Interview en población española con conducta suicida. Revista de Psiquiatría y Salud Mental, 6(3), 101–108. https://doi.org/10.1016/j.rpsm.2012.07.001
  • Gratz, K. L. (2001). Measurement of deliberate self-harm: Preliminary data on the Deliberate Self-Harm Inventory. Journal of Psychopathology and Behavioral Assessment, 23(4), 253–263.
  • Gratz, K. L. (2007). Targeting emotion dysregulation in the treatment of self-injury. Journal of Clinical Psychology, 63(11), 1091– 1103. https://doi.org/10.1002/jclp.20417
  • Hasking, P., Lewis, S. P., Robinson, K., Heath, N. L., & Wilson, M. S. (2019). Conducting research on nonsuicidal self-injury in schools: Ethical considerations and recommendations. School Psycho logy Internationa l , 40 (3) , 217–234. https://doi.org/10.1177/0143034319827056
  • Hasking, P., Whitlock, J., Voon, D., & Rose, A. (2017). A cognitive-emotional model of NSSI: using emotion regulation and cognitive processes to explain why people self-injure. Cognit ion and Emot ion , 31 (8) , 1543–1556. https://doi.org/10.1080/02699931.2016.1241219
  • Hawton, K., Witt, K. G., Taylor Salisbury, T. L., Arensman, E., Gunnell, D., Townsend, E., van Heeringen, K., & Hazell, P. (2015). Interventions for self-harm in children and adolescents . Cochrane Database of Systemat ic Reviews , 12 . https://doi.org/10.1002/14651858.CD012013
  • International Society for the Study of Self-injury. (2006). What is selfinjury? https://itriples.org/what-is-self-injury/
  • Joiner, T. E., Ribeiro, J. D., & Silva, C. (2012). Nonsuicidal Self-Injury, Suicidal Behavior, and Their Co-occurrence as Viewed Through the Lens of the Interpersonal Theory of Suicide. Current Direct ions in Psychological Science , 21(5), 342–347. https://doi.org/10.1177/0963721412454873
  • Klonsky, E. D. (2007). The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review, 27(2), 226– 239. https://doi.org/10.1016/j.cpr.2006.08.002
  • Klonsky, E. D., & Glenn, C. R. (2009). Assessing the Functions of Non-suicidal Self-injury: Psychometric Properties of the Inventory of Statements About Self-injury (ISAS). Journal of Psychopathology and Behavioral Assessment , 31(3), 215–219. https://doi.org/10.1007/s10862-008-9107-z
  • Klonsky, E. D., Glenn, C. R., Styer, D. M., Olino, T. M., & Washburn, J. J. (2015). The functions of nonsuicidal self-injury: Converging evidence for a two-factor structure. Child and Adolescent Psychiatry and Mental Health. https://doi.org/10.1186/s13034- 015-0073-4
  • Klonsky, & Lewis. (2014). Assessment of Nonsuicidal Self-injury. In M. K. Nock (Ed.), Handbook of suicide and self-injury (pp. 337– 351). Oxford University Press.
  • Kraus, L., Schmid, M., & In-Albon, T. (2020). Anti-Suicide Function of Nonsuicidal Self-Injury in Female Inpatient Adolescents. Frontiers in Psychiatry, 11, 490. https://doi.org/10.3389/fpsyt.2020.00490
  • Kruzan, K. P., & Whitlock, J. (2019). Processes of Change and Nonsuicidal Self-Injury: A Qualitative Interview Study With Individuals at Various Stages of Change. Global Qualitativ e N u r s i n g R e s e a r c h , 6 , 2 3 3 3 3 9 3 6 1 9 8 5 2 9 3 . https://doi.org/10.1177/2333393619852935
  • Kruzan, K. P., Whitlock, J., & Hasking, P. (2020). Development and initial validation of scales to assess Decisional Balance (NSSIDB), Processes of Change (NSSI-POC), and Self-Efficacy (NSSISE) in a population of young adults engaging in nonsuicidal self-injury. Psychological Assessment , 32(7), 635–648. https://doi.org/10.1037/pas0000821
  • Lengel, G. J., & Denise, S. (2019). Comprehensive Assessment of Nonsuicidal Self-Injury. In J. J. Washburn (Ed.), Nonsuicidal SelfInjury: Advances in Research and Practice (First). Routledge. https://doi.org/10.4324/9781315164182
  • Linehan, M. M. (1993). Cognitive-behavioral Treatment of Borderline Personali ty Disorder (1st ed.). Guilford Publications. https://books.google.es/books?id=UZim3OAPwe8C
  • Linehan, M. M., Comtois, K. A., Brown, M. Z., Heard, H. L., & Wagner, A. (2006). Suicide Attempt Self-Injury Interview (SASII): Development, reliability, and validity of a scale to assess suicide attempts and intentional self-injury. Psychological Assessment, 18(3), 303–312. ht tps://doi.org/10.1037/1040- 3590.18.3.303
  • Liu, R. T. (2017). Characterizing the course of non-suicidal selfinjury: A cognitive neuroscience perspective. Neuroscience and B iobehav io ra l Rev iews , 80 (6 ) , 159–165. https://doi.org/10.1016/j.neubiorev.2017.05.026
  • Lloyd, E. E. (1997). Self-Mutilation in a Community Sample of Adolescents. LSU Historical Dissertations and Theses
  • Madge, N., Hawton, K., McMahon, E. M., Corcoran, P., Leo, D. De, Wilde, E. J. De, Fekete, S., Heeringen, K. Van, Ystgaard, M., & Arensman, E. (2011). Psychological characteristics, stressful life events and deliberate self-harm: findings from the Child & Adolescent Self-harm in Europe (CASE) Study. European Child & Adolescent Psychiatry, 20(10), 499.
  • Mannekote Thippaiah, S., Shankarapura Nanjappa, M., Gude, J. G., Voyiaziakis, E., Patwa, S., Birur, B., & Pandurangi, A. (2020). Non-suicidal self-injury in developing countries: A review. The International Journal of Social Psychiatry, 20764020943627. https://doi.org/10.1177/0020764020943627
  • Morales, J. J., Buser, T. J., & Farag, M. S. (2018). Comparison of brief measures of the prevalence of nonsuicidal self-injury in a nonclinical sample of young adults. Journal of M e n t a l H e a l t h C o u n s e l i n g , 4 0 ( 2 ) , 1 5 6 – 1 7 1 . https://doi.org/10.17744/mehc.40.2.05
  • Muehlenkamp, J. J., Xhunga, N., & Brausch, A. M. (2018). Self-injury Age of Onset: A Risk Factor for NSSI Severity and Suicidal Behavior. Archives of Suicide Research , 0(1), 1–13. https://doi.org/10.1080/13811118.2018.1486252
  • Neira, M. D. De, García-Nieto, R., León-Martinez, V. De, Fominaya, M. P., Baca-García, E., & Carballo, J. J. (2015). Prevalencia y funciones de los pensamientos y conductas autoagresivas en una muestra de adolescentes evaluados en consultas externas de salud mental. Revista de Psiquiatria y Salud Mental, 8(3), 137– 145. https://doi.org/10.1016/j.rpsm.2013.09.003
  • Nock, M. K. (2014). The Oxford handbook of suicide and self-injury. Oxford University Press.
  • Nock, M. K., & Favazza, A. R. (2009). Nonsuicidal self-injury: definition and classification. In M. K. Nock (Ed.), Understanding Nonsuicidal Self-Injury: Origins, Assessment, and Treatment (pp. 9–18). American Psychological Association.
  • Nock, M. K., Holmberg, E. B., Photos, V. I., & Michel, B. D. (2007). Self-Injurious Thoughts and Behaviors Interview: Development, reliability, and validity in an adolescent sample. Psychological Assessment, 19(3), 309–317. https://doi.org/10.1037/1040-3590.19.3.309
  • Nock, M. K., & Prinstein, M. J. (2004). A Functional Approach to the Assessment of Self-Mutilative Behavior. Journal of Consulting and Cl inical Psychology , 72(5), 885–890. https://doi.org/10.1037/0022-006X.72.5.885
  • Ougrin, D., & Boege, I. (2013). Brief report: The self harm questionnaire: A new tool designed to improve identification of self harm in adolescents. Journal of Adolescence, 36(1), 221–225. https://doi.org/10.1016/j.adolescence.2012.09.006
  • Pérez, S., García-Alandete, J., Cañabate, M., & Marco, J. H. (2020). Confirmatory factor analysis of the Inventory of Statements About Selfinjury in a Spanish clinical sample. Journal of Clinical Psychology, 76(1), 102–117. https://doi.org/10.1002/jclp.22844
  • Polihronis, C., Cloutier, P., Kaur, J., Skinner, R., & Cappelli, M. (2020). What’s the harm in asking? A systematic review and meta-analysis on the risks of asking about suicide-related behaviors and self-harm with quality appraisal. Archives of Suicide Research, 1(1), 1–23. https://doi.org/10.1080/13811118.2020.1793857
  • Rowe, S. L., French, R. S., Henderson, C., Ougrin, D., Slade, M., & Moran, P. (2014). Help-seeking behaviour and adolescent self-harm: A systematic review. Australian & New Zealand Jou rna l o f P sych ia t ry , 48 (12) , 1083–1095. https://doi.org/10.1177/0004867414555718
  • Singhal, N., & Bhola, P. (2017). Ethical practices in communitybased research in non-suicidal self-injury: A systematic rev iew. As ian Jou rna l o f P sych ia t ry , 30 , 127–134. https://doi.org/10.1016/j.ajp.2017.08.015
  • Solis-Espinoza, M., & Gómez-Peresmitré, G. (2020). Cuestionario de Riesgo de Autolesión (CRA): propiedades psicométricas y resultados en una muestra de adolescentes. Revista Digital Internacional de Psicología y Ciencia Social , 6(1), 123–141. https://doi.org/10.22402/j.rdipycs.unam.6.1.2020.206.123- 141
  • Sutton, J. (2007). Healing the Hurt within: Understand Self-injury and Self-harm, and Heal the Emotional Wounds. (3rd ed.). How to books Ltd.
  • Suyemoto, K. L. (1998). The functions of self-mutilation. Clinical Psychology Review, 18(5), 531–554. https://doi.org/10.1016/s0272- 7358(97)00105-0
  • Swannell, S. V., Martin, G. E., Page, A., Hasking, P., & St John, N. J. (2014). Prevalence of Nonsuicidal Self-Injury in Nonclinical Samples: Systematic Review, Meta-Analysis and Meta-Regression. Suicide and Life-Threatening Behavior, 44(3), 273–303. https://doi.org/10.1111/sltb.12070
  • Trewavas, C., Hasking, P., & McAllister, M. (2010). Representations of Non-Suicidal Self-Injury in Motion Pictures. Archives o f Su icide Research , 14 (1 ) , 89–103. https://doi.org/10.1080/13811110903479110
  • Valencia-Agudo, F., Burcher, G. C., Ezpeleta, L., & Kramer, T. (2018). Nonsuicidal self-injury in community adolescents: A systematic review of prospective predictors, mediators and moderators. Journal of Adolescence , 65(1), 25–38. https://doi.org/10.1016/j.adolescence.2018.02.012
  • Vilchez, J. (2019). Validation in Ecuadorian Population of a Self-in- jury Questionnaire Without Suicide Intention Based on the DSM5. Revista Iberoamericana de Diagnóstico y Evaluación – e Aval iação Psicológica , 2(51), 163–169. https://doi.org/10.21865/RIDEP51.2.12
  • Walsh, B. W. (2012). Treating self-injury: A practical guide. Guilford Press.
  • Washburn, J. J. (2019). Nonsuicidal Self-Injury. Routledge. https://doi.org/10.4324/9781315164182
  • Wester, K., Trepal, H., & King, K. (2018). Nonsuicidal Self-Injury: Increased Prevalence in Engagement. Suicide and Life-Threatening Behavior, 48(6), 690–698. https://doi.org/10.1111/sltb.12389
  • Whitlock, J., Eckenrode, J., & Silverman, D. (2006). Self-injurious behaviors in a college population. Pediatrics, 117(6), 1939–1948. https://doi.org/10.1542/peds.2005-2543