A Youth Culturally adapted Manual Assisted Problem Solving Training (YCMAP) in Pakistani adolescent with a history of self harm: Protocol for multi-centre clinical and cost effectiveness randomised controlled trial.

Nusrat Husain, Imran Bashir Chaudhry, Peter Taylor, Sophia Ananiadou, Saadia Aseem, Jonathan Green, Aaron Poppleton, et al.

Research output: Contribution to journalArticlepeer-review

Abstract

The definition of non-suicidal-self-injury (NSSI) behavior in DSM-5 was an important step in the history of NSSI diagnosis. So far, only the DSM-5 had offered reference diagnostic criteria for NSSI, but not yet taken NSSI as an independent mental disorder, while ICD-11 had not studied NSSI as a separate disease, and had not given corresponding diagnostic criteria. However, a total of 12 tools within 21 identified NSSI tools were published before 2013, the year DSM-5 was published. This review was dedicated to studying the psychological characteristics of the existing English version of the NSSI scales. We finally found the 21 NSSI scales from 297 studies as the main content of this study. And through the following framework for research: (1) conceptual and practical considerations; (2) alignment with DSM-5 and ICD-11 criteria; (3) type and quantity of studies and samples; and (4) psychometric properties. Overall, there was a mixed picture of the evidence on NSSI tools, with several tools with relatively higher evidential support in distinct areas, but to our knowledge, there was no markedly superior tool with distinct practical and/or psychometric advantages. The NSSI field would benefit from a standard international tool to identify NSSI across the spectrum of maladaptive self-harm behaviors and suicide behaviors. We suggested that there is a strong need for a scale containing the completed NSSI diagnostic criteria in DSM-5 and to assess quantitative NSSI symptoms, and the new NSSI tool will support more evidence, for it is necessary to treat NSSI as a single diagnosis in clinical practice in future.
Original languageEnglish
JournalBMJ Open
Publication statusAccepted/In press - 10 Apr 2022

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