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
Journal:
Papeles del psicólogo

ISSN: 0214-7823,  1886-1415

Year of publication: 2021

Volume: 42

Issue: 3

Pages: 207-214

Type: Article

DOI: 10.23923/PAP.PSICOL.2964 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Papeles del psicólogo

Sustainable development goals

Abstract

The conceptualization and assessment of non-suicidal self-injury (NSSI) has varied over the years. Clinical knowledge about NSSI depends on the evaluation and the sample investigated. However, the majority of the reviews on this subject do not have Spanish-speaking samples. This study aims to review the concept and clinical assessment of NSSI in the Spanish-speaking population from a comprehensive point of view. Through a systematic review, including the gray literature, 8 validated instruments were found in Spanish-speaking samples. These instruments are described in terms of their development, format, the characteristics that they measure, and their clinical and psychometric applicability. The majority are adaptations for community adolescents, and Mexicans stand out in terms of creation and adaptations. Although they have clinical potential, these instruments have not been sufficiently proven for NSSI intervention. Finally, Spanish-speaking NSSI evaluation and possible improvements are discussed.

€ View funding

Funding information

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.

Funders

Bibliographic References

  • 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
Data source: Dialnet