The German version of the self-injurious thoughts and behaviors interview (SITBI-G): a tool to assess non-suicidal self-injury and suicidal behavior disorder

BMC Psychiatry

Michael Kaess²  Romuald Brunner²  Michael Kölch⁴  Eva Vonderlin¹  Rebecca Groschwitz³  Paul L Plener³  Peter Parzer²  Nina Ameis²  Gloria Fischer² 

[1] Institute of Psychology, University of Heidelberg, Heidelberg, Germany;Section for Disorders of Personality Development, Clinic of Child and Adolescent Psychiatry, Centre of Psychosocial Medicine, University of Heidelberg, Blumenstrasse 8, Heidelberg 69115, Germany;Department of Child and Adolescent Psychiatry and Psychotherapy, University of Ulm, Ulm, Germany;Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatic of the Vivantes Netzwerk für Gesundheit GmbH Berlin, Berlin, Germany

关键词: Adolescents;    Psychometric properties;    SITBI-G;    DSM-5;    Suicidal behavior disorder;    Nonsuicidal self-injury;   

Others  :  1123329
DOI  :  10.1186/s12888-014-0265-0

 received in 2014-05-28, accepted in 2014-09-10,  发布年份 2014

【 摘 要 】

Background

Self-injurious thoughts and behaviors (SITBs) are common in adolescents. While there is no standardized interview in German to assess SITBs to date, the Self-Injurious Thoughts and Behaviors Interview (SITBI) is widely used in English-speaking countries. However, the SITBI has not been validated for the assessment of the recently issued DSM-5 Section 3 diagnoses of nonsuicidal self-injury (NSSI) and suicidal behavior disorder (SBD) yet. In the present study the psychometric properties of the German version of the SITBI (SITBI-G) were assessed. We also evaluated whether SITBI-G is a reliable and valid instrument to establish diagnoses of NSSI and SBD.

Methods

A clinical adolescent sample (N = 111, f/m = 73/38, age range = 12-19 years) was recruited from the inpatient units of three departments of child and adolescent psychiatry in Germany. All participating patients were interviewed by using the SITBI-G, and DSM-5 criteria of NSSI and SBD were operationalized from the SITBI-G data. Additionally, participants were given the Self-Harm Behavior Questionnaire (SHBQ), and SITBI-G was retested in a subsample.

Results

The SITBI-G shows moderate to good test-retest reliability, a very good interrater reliability, and a good construct validity. The results demonstrate that diagnoses of NSSI and SBD can be established using the SITBI-G, achieving moderate to good test-retest reliabilities and very good to perfect interrater reliabilities.

Conclusions

Overall, the good psychometric properties of SITBI-G are comparable to the original version of the interview. Therefore, SITBI-G seems to be highly appropriate to assess SITBs, including the new DSM-5 Section 3 diagnoses NSSI and SBD in research and clinical contexts.

【 授权许可】

   
2014 Fischer et al.; licensee BioMed Central Ltd.

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