Kruzan Kaylee P, Ammerman Brooke, Lengel Gregory J, Griffith James W, Lucas Khendra, Nguyen Theresa, Rushton Kevin, Washburn Jason J, Mohr David C
Department of Preventive Medicine, Center for Behavioral Intervention Technologies, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Department of Psychology, University of Wisconsin, Madison, WI, USA.
J Affect Disord. 2025 Oct 15;387:119506. doi: 10.1016/j.jad.2025.119506. Epub 2025 May 27.
Effective assessment of non-suicidal self-injury (NSSI) is crucial for identifying the behavior, evaluating its severity, and determining appropriate interventions. Many individuals who engage in NSSI are never assessed due to limited engagement in formal treatment, yet they do seek information and resources related to NSSI online. While numerous NSSI assessments exist, none have been designed for self-administration in online spaces where individuals are actively seeking help. An online self-assessment of NSSI severity has the potential to reach, assess, inform, and guide those in the early stages of help-seeking towards appropriate resources and support. In partnership with a large mental health advocacy group, this study aimed to 1) develop an online self-assessment of NSSI severity and conduct an initial test of the item pool, 2) better understand characteristics of NSSI, among individuals accessing NSSI information online. The online self-assessment was intentionally designed (a) on the empirical literature of factors important for understanding NSSI severity, (b) in conjunction with individuals with lived experience, and (3) in collaboration with a community organization familiar with online help-seeking samples, to ensure that the long-term goal of pairing the assessment with resource recommendations can be met. A clear 5-factor structure that is both empirically and theoretically sound emerged. With further development, the online self-assessment, which we call Self-Evaluation of NSSI Severity and Experience (SENSE), can provide valuable information to individuals who engage in NSSI and are seeking help online and be a direct line to personalized resource recommendations.
有效评估非自杀性自伤行为（NSSI）对于识别该行为、评估其严重程度以及确定适当的干预措施至关重要。许多有非自杀性自伤行为的人由于很少接受正规治疗而从未得到评估，但他们确实会在网上寻求与非自杀性自伤相关的信息和资源。虽然有许多非自杀性自伤行为评估工具，但没有一个是为在个人积极寻求帮助的在线空间中进行自我管理而设计的。非自杀性自伤严重程度的在线自我评估有潜力接触、评估、告知并指导那些处于求助早期阶段的人获取适当的资源和支持。本研究与一个大型心理健康倡导组织合作，旨在：1）开发一种非自杀性自伤严重程度的在线自我评估工具，并对项目库进行初步测试；2）更好地了解在网上获取非自杀性自伤信息的人群的非自杀性自伤特征。该在线自我评估工具的设计初衷是：（a）基于对理解非自杀性自伤严重程度重要因素的实证文献；（b）与有实际经历的人合作；（c）与一个熟悉在线求助样本的社区组织合作，以确保能够实现将评估与资源推荐相结合的长期目标。一个在实证和理论上都合理的清晰的五因素结构出现了。随着进一步发展，我们称之为“非自杀性自伤严重程度与经历自我评估”（SENSE）的在线自我评估工具，可以为有非自杀性自伤行为且在网上寻求帮助的个人提供有价值的信息，并成为获取个性化资源推荐的直接途径。
