Research Article

Proposed Diagnostic Criteria for the DSM-5 of Nonsuicidal Self-Injury in Female Adolescents: Diagnostic and Clinical Correlates

Table 2

Frequency and percentage of the proposed B and C diagnostic criteria for NSSI for the DSM-5, of adolescents with NSSI (NSSI disorder) and adolescents with NSSI without impairment/distress (NSSI-C).

Proposed criterionNSSI disorder ( )
No. (%)
NSSI disorder frequencya
M (SD)
NSSI disorder strengthb
M (SD)
NSSI-C ( )
No. (%)

B1: Psychological precipitant38 (97.4)10 (100)
 Sadness 30 (76.9)2.29 (0.98)2.38 (0.95)7 (70.0)
 Tension29 (74.4)1.82 (1.02)1.89 (1.09)5 (50.0)
 Anger24 (61.5)1.68 (1.14)1.69 (1.19)6 (60.0)
 Distress23 (59.0)1.66 (1.19)1.70 (1.18)5 (50.0)
 Self-criticism19 (48.7)1.38 (1.18)1.50 (1.23)6 (60.0)
 Anxiety8 (20.5)0.76 (1.13)0.83 (1.12)2 (20.0)
B2:
 Preoccupation with behaviour 18 (46.2)7 (70.0)
 Difficulties resisting the urge15 (38.5)2.47 (0.80)4 (40.0)
B3: Urge occurs frequently35 (89.7)2.42 (0.72)2.44 (0.64)5 (50.0)
B4:
 Contingent response34 (87.2)7 (70.0)
 Relief from negative feelings
  Before10 (25.6)0.63 (1.00)4 (40.0)
  During 14 (35.9)1.00 (1.19)3 (30.0)
  After21 (53.8)1.66 (1.24)7 (70.0)
 Fewer interpersonal problems
  Before2 (5.1)0.15 (0.59)2 (20.0)
  During 5 (12.8)0.35 (0.86)2 (20.0)
  After4 (10.3)0.34 (0.82)3 (30.0)
 Feel better
  Before7 (17.9)0.47 (0.98)4 (40.0)
  During 9 (23.1)0.68 (1.12)2 (20.0)
  After18 (46.2)1.32 (1.32)6 (50.0)
 Reward
  Before1 (2.6)0.11 (0.52)0 (0)
  During 1 (2.6)0.08 (0.50)0 (0)
  After4 (10.3)0.27 (0.80)0 (0)
 Preventing suicide attempt
  Before7 (17.9)0.94 (1.08)1 (10.0)
  During 6 (15.4)0.38 (0.87)2 (20.0)
  After3 (7.7)0.28 (0.77)0 (0)
C: Distress, Impairment
 Impairment39 (100)1.97 (0.77)0 (0)
  Home 9 (23.1)0.94 (0.95)0 (0)
  School8 (20.5)0.94 (0.93)0 (0)
  Leisure time13 (33.3)1.12 (1.02)0 (0)
  Friends10 (25.6)0.88 (.99)0 (0)
 Distress27 (69.2)0 (0)
 Want help: 31 (79.5)3 (30)

Note. aFrequency scale 0–3 (0 = never, 1 = sometimes, 2 = often, 3 = very often) bStrength scale 0–3 (0 = not at all, 1 = a little, 2 = strong, 3 = very strong).