Developing a Screening Instrument and At-Risk Profile for Nonsuicidal Self-Injurious Behavior in College Women and Men

Archival data (N = 1,048 women, 1,136 men) from a mental health survey of college students were used to investigate incidence of nonsuicidal self-injury (NSSI), including cutting. Significant levels (defined as 4-5 lifetime incidents) were found in 9.3% of women and 5.3% of men. The Counseling Cente...

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Bibliographic Details
Published inJournal of counseling psychology Vol. 57; no. 1; pp. 128 - 139
Main Authors Cheng, Hsiu-Lan, Mallinckrodt, Brent, Soet, Johanna, Sevig, Todd
Format Journal Article
LanguageEnglish
Published United States American Psychological Association 01.01.2010
Subjects
Adolescent
Adult
Affect
Anxiety
At Risk Persons
College Students
Counseling
Cross-Sectional Studies
Depression (Psychology)
Eating Disorders
Family Influence
Female
Females
Gender Differences
Health Surveys
Humans
Incidence
Life Change Events
Male
Males
Mass Screening
Mental Health
Middle Aged
Patient Acceptance of Health Care - psychology
Personality Inventory - statistics & numerical data
Profiles
Psychological Patterns
Religion
Risk Factors
Screening Tests
Self Destructive Behavior
Self-Injurious Behavior - epidemiology
Self-Injurious Behavior - psychology
Student Health Services
Students - psychology
Substance Abuse
Symptoms (Individual Disorders)
Test Construction
Violence
Young Adult
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Summary:Archival data (N = 1,048 women, 1,136 men) from a mental health survey of college students were used to investigate incidence of nonsuicidal self-injury (NSSI), including cutting. Significant levels (defined as 4-5 lifetime incidents) were found in 9.3% of women and 5.3% of men. The Counseling Center Assessment for Psychological Symptoms (a global symptom inventory) and an assessment of trauma had been field tested with this sample. We randomly partitioned half of these data into a holdout sample and used the remainder to develop an NSSI screening inventory that included (a) 5 women's screening items, including 1 item to assess trauma experienced; (b) 11 men's screening items; and (c) 12 items common to men and women, including depression, dissociation, anger, unwanted thoughts, nightmares or flashbacks, and having witnessed trauma. Logistic regression and receiver-operating characteristic curve analysis suggested the inventory significantly discriminated NSSI men and women in the holdout sample, p less than 0.001. Cutoff scores were identified to correctly classify about 48% of the true positive male and female NSSI cases, with false positive rates of 13.2% and 8.4% for women and men, respectively. (Contains 5 tables.)
ISSN:0022-0167
DOI:10.1037/a0018206