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Randy A. Sansone - One of the best experts on this subject based on the ideXlab platform.
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the prevalence of 22 self harm Behaviors in a consecutive sample of obstetrics gynecology outpatients
International Journal of Psychiatry in Medicine, 2012Co-Authors: Randy A. Sansone, Joy Chang, Bryan JewellAbstract:BACKGROUND: While a number of previous studies have examined limited forms of Self-Harm Behavior, such as suicidal ideation/attempts/completions, or one specific Behavior such as cutting or burning oneself(most frequently in psychiatric populations), few studies have examined the lifetime prevalence of multiple Self-Harm Behaviors in a single non-psychiatric population and no study has done so among obstetrics/gynecology outpatients. METHOD: Using a cross-sectional consecutive sample of 370 women presenting to an obstetrics/gynecology outpatient clinic and a self-report survey methodology, we examined the lifetime prevalence of 22 Self-Harm Behaviors. RESULTS: In this sample, the most frequently self-reported Self-Harm Behaviors were: engaged in emotionally abusive relationships (24.7%), abused alcohol (22.0%), been promiscuous (21.0%), attempted suicide (18.3%), and tortured self with self-defeating thoughts (16.7%). Four of these preceding Behaviors were also the most commonly reported 5 of 22 Behaviors in 3 previous studies of Self-Harm Behavior in different clinical populations. CONCLUSIONS: It appears that the most frequently reported lifetime Self-Harm Behaviors are relatively common across various non-psychiatric clinical populations of adults, albeit in different proportions, with some exceptions (i.e., suicide attempts in the present sample). Language: en
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The prevalence of Self-Harm Behaviors in a consecutive sample of cardiac stress test patients.
International journal of psychiatry in medicine, 2011Co-Authors: Randy A. Sansone, Nathaniel Dittoe, Harvey S. Hahn, Michael W. WiedermanAbstract:While Self-Harm Behavior has been studied in various psychiatric populations, particularly the Behaviors of suicide attempts and completions, little empirical data exists on the lifetime prevalence of various Self-Harm Behaviors in non-psychiatric populations. In the present study, using a cross-sectional approach and a self-report survey methodology, we examined the lifetime prevalence of 22 Self-Harm Behaviors in a consecutive sample of 250 patients undergoing cardiac stress testing. Results indicated that abuse alcohol was most common (17.2%) followed by promiscuity (10.4%); 6% reported a previous suicide atatempt. Findings indicate areas of clinician inquiry for Self-Harm Behaviors in non-psychiatric patients.
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childhood abuse mental healthcare utilization self harm Behavior and multiple psychiatric diagnoses among inpatients with and without a borderline diagnosis
Comprehensive Psychiatry, 2005Co-Authors: Randy A. Sansone, Douglas A Songer, Kimberly A MillerAbstract:Abstract Although borderline personality disorder (BPD) has defined diagnostic criteria, a number of other clinical features are associated with this diagnosis. These features may include childhood histories of abuse (eg, sexual, physical, and emotional abuse; the witnessing of violence), high mental healthcare utilization, Self-Harm Behavior, and polysymptomatic presentations that result in multiple Axis I diagnoses. Although each of these variables has been described in the empirical literature, only 1 other study has explored all 4 of these variables in a single study population—the Collaborative Longitudinal Personality Disorders Study. Using clinical diagnoses and self-report surveys, we explored these variables among psychiatric inpatients in a community hospital. We found that, compared with patients with no BPD, those with BPD reported significantly more types of childhood trauma, higher utilization of particular mental health services (ie, number of times and days of hospitalization for mental health or substance abuse, number of psychiatrists and therapists ever seen, number of courses of psychotherapy treatment), and a higher number of Self-Harm Behaviors. Although not significant, there were positive trends for the remaining variables. The authors discuss the implications of these findings as they relate to patients with BPD.
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the self harm inventory shi development of a scale for identifying self destructive Behaviors and borderline personality disorder
Journal of Clinical Psychology, 1998Co-Authors: Randy A. Sansone, Michael W. Wiederman, Lori A SansoneAbstract: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.
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the self harm inventory shi development of a scale for identifying self destructive Behaviors and borderline personality disorder
Journal of Clinical Psychology, 1998Co-Authors: Randy A. Sansone, Michael W. Wiederman, Lori A SansoneAbstract: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. © 1998 John Wiley & Sons, Inc. J Clin Psychol 54: 973–983, 1998.
Lori A Sansone - One of the best experts on this subject based on the ideXlab platform.
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the self harm inventory shi development of a scale for identifying self destructive Behaviors and borderline personality disorder
Journal of Clinical Psychology, 1998Co-Authors: Randy A. Sansone, Michael W. Wiederman, Lori A SansoneAbstract: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.
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the self harm inventory shi development of a scale for identifying self destructive Behaviors and borderline personality disorder
Journal of Clinical Psychology, 1998Co-Authors: Randy A. Sansone, Michael W. Wiederman, Lori A SansoneAbstract: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. © 1998 John Wiley & Sons, Inc. J Clin Psychol 54: 973–983, 1998.
Michael W. Wiederman - One of the best experts on this subject based on the ideXlab platform.
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The prevalence of Self-Harm Behaviors in a consecutive sample of cardiac stress test patients.
International journal of psychiatry in medicine, 2011Co-Authors: Randy A. Sansone, Nathaniel Dittoe, Harvey S. Hahn, Michael W. WiedermanAbstract:While Self-Harm Behavior has been studied in various psychiatric populations, particularly the Behaviors of suicide attempts and completions, little empirical data exists on the lifetime prevalence of various Self-Harm Behaviors in non-psychiatric populations. In the present study, using a cross-sectional approach and a self-report survey methodology, we examined the lifetime prevalence of 22 Self-Harm Behaviors in a consecutive sample of 250 patients undergoing cardiac stress testing. Results indicated that abuse alcohol was most common (17.2%) followed by promiscuity (10.4%); 6% reported a previous suicide atatempt. Findings indicate areas of clinician inquiry for Self-Harm Behaviors in non-psychiatric patients.
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the self harm inventory shi development of a scale for identifying self destructive Behaviors and borderline personality disorder
Journal of Clinical Psychology, 1998Co-Authors: Randy A. Sansone, Michael W. Wiederman, Lori A SansoneAbstract: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.
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the self harm inventory shi development of a scale for identifying self destructive Behaviors and borderline personality disorder
Journal of Clinical Psychology, 1998Co-Authors: Randy A. Sansone, Michael W. Wiederman, Lori A SansoneAbstract: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. © 1998 John Wiley & Sons, Inc. J Clin Psychol 54: 973–983, 1998.
Kim L Gratz - One of the best experts on this subject based on the ideXlab platform.
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three assessment tools for deliberate self harm and suicide Behavior evaluation and psychopathological correlates
Journal of Psychosomatic Research, 2006Co-Authors: Herbert Fliege, Rueyadaniela Kocalevent, Otto B Walter, Stefanie Beck, Kim L Gratz, Peter M Gutierrez, Burghard F KlappAbstract:Abstract Objective The aims of this study are to adapt two validated self-report questionnaires of deliberate Self-Harm and suicidal Behavior to German, to investigate their psychometric properties and agreement with clinician-administered ratings, and to examine their psychopathological correlates. Methods The Deliberate Self-Harm Inventory [Gratz KL. Measurement of deliberate Self-Harm: preliminary data on the deliberate Self-Harm inventory. J Psychopathol Behav 2001;23:253–263] and the Self-Harm Behavior Questionnaire [Guttierez PM, Osman A, Barrios FX, Kopper BA. Development and initial validation of the Self-Harm Behavior questionnaire. J Pers Assess 2001;77:475–490] were completed by 361 patients hospitalized for depressive, anxiety, adjustment, somatoform, and/or eating disorders. A clinician-administered rating scale of self-destructive Behavior was included. Psychopathological variables were assessed by standardized questionnaires. Results The self-report questionnaires demonstrated good reliability ( α =.81–.96, split-half r =.78–.98, test–retest r =.65–.91). Reliability of the clinician-administered ratings was acceptable (interrater κ =.46–.77, test–retest κ =.35–.48). Intraclass correlations (ICC=.68) for all three instruments were satisfactory. Rates of Self-Harm and associations between Self-Harm and suicidal Behaviors are reported. The findings support the hypotheses of a higher degree of psychiatric symptomatology in patients with Self-Harm Behavior compared to those without. Conclusion The two questionnaire adaptations are reliable and valid self-report scales for the assessment of Self-Harm and past suicidal Behavior.
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risk factors for deliberate self harm among female college students the role and interaction of childhood maltreatment emotional inexpressivity and affect intensity reactivity
American Journal of Orthopsychiatry, 2006Co-Authors: Kim L GratzAbstract:Despite the clinical importance of deliberate Self-Harm, research on the risk factors for Self-Harm among nonclinical populations has been limited. This study examined the role of childhood maltreatment, emotional inexpressivity, and affect intensity/reactivity in the Self-Harm Behavior of 249 female college students. Childhood maltreatment and low positive affect intensity/reactivity reliably distinguished women with frequent Self-Harm from women with no history of Self-Harm, as did the combination of greater maltreatment, greater inexpressivity, and higher levels of affect intensity/reactivity (global and negative). Among women with a history of Self-Harm, emotional inexpressivity was associated with more frequent Self-Harm, as was the combination of greater maltreatment, greater inexpressivity, and lower levels of positive affect intensity/reactivity.
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preliminary data on an acceptance based emotion regulation group intervention for deliberate self harm among women with borderline personality disorder
Behavior Therapy, 2006Co-Authors: Kim L Gratz, John G GundersonAbstract:Abstract Borderline personality disorder (BPD) and deliberate Self-Harm are clinically important conditions for which additional economically and clinically feasible interventions are needed. Literature on both the emotion regulating and experientially avoidant function of Self-Harm and the role of emotional dysfunction in BPD provided the rationale for developing a group intervention targeting emotion dysregulation among Self-Harming women with BPD. This study provides preliminary data on the efficacy of this new, 14-week, emotion regulation group intervention, designed to teach Self-Harming women with BPD more adaptive ways of responding to their emotions so as to reduce the frequency of their Self-Harm Behavior. Participants were matched on level of emotion dysregulation and lifetime frequency of Self-Harm and randomly assigned to receive this group in addition to their current outpatient therapy (N = 12), or to continue with their current outpatient therapy alone for 14 weeks (N = 10). Results indicate that the group intervention had positive effects on Self-Harm, emotion dysregulation, experiential avoidance, and BPD-specific symptoms, as well as symptoms of depression, anxiety, and stress. Participants in the group treatment condition evidenced significant changes over time on all measures, and reached normative levels of functioning on most. While these preliminary results are promising, the study’s limitations require their replication in a larger-scale randomized controlled trial.
John G Gunderson - One of the best experts on this subject based on the ideXlab platform.
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preliminary data on an acceptance based emotion regulation group intervention for deliberate self harm among women with borderline personality disorder
Behavior Therapy, 2006Co-Authors: Kim L Gratz, John G GundersonAbstract:Abstract Borderline personality disorder (BPD) and deliberate Self-Harm are clinically important conditions for which additional economically and clinically feasible interventions are needed. Literature on both the emotion regulating and experientially avoidant function of Self-Harm and the role of emotional dysfunction in BPD provided the rationale for developing a group intervention targeting emotion dysregulation among Self-Harming women with BPD. This study provides preliminary data on the efficacy of this new, 14-week, emotion regulation group intervention, designed to teach Self-Harming women with BPD more adaptive ways of responding to their emotions so as to reduce the frequency of their Self-Harm Behavior. Participants were matched on level of emotion dysregulation and lifetime frequency of Self-Harm and randomly assigned to receive this group in addition to their current outpatient therapy (N = 12), or to continue with their current outpatient therapy alone for 14 weeks (N = 10). Results indicate that the group intervention had positive effects on Self-Harm, emotion dysregulation, experiential avoidance, and BPD-specific symptoms, as well as symptoms of depression, anxiety, and stress. Participants in the group treatment condition evidenced significant changes over time on all measures, and reached normative levels of functioning on most. While these preliminary results are promising, the study’s limitations require their replication in a larger-scale randomized controlled trial.