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  • Alexian Brothers Assessment Of Self-injury Short Form

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Alexian Brothers Assessment of SelfInjury Short Form Name: Date: This questionnaire asks about a number of different things that people do to injure themselves. Please read each question carefully.

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How to fill out the Alexian Brothers Assessment Of Self-Injury Short Form online

Completing the Alexian Brothers Assessment Of Self-Injury Short Form is an important step in understanding self-injury behaviors. This guide provides clear and supportive instructions to help users fill out the form accurately and thoughtfully.

Follow the steps to complete the assessment effectively.

  1. Click ‘Get Form’ button to download the assessment form and open it in your preferred editor.
  2. Begin by entering your name in the designated field at the top of the form. This identifies your submission.
  3. Next, fill in the date of completion in the provided date section to specify when you are completing the form.
  4. Read the introductory instructions carefully. Acknowledge the importance of answering each question honestly regarding self-injury behaviors in the last year.
  5. Proceed to the list of self-injury behaviors. For each behavior, indicate how often you have engaged in that behavior over the past year by filling in the corresponding fields labeled 'DAYS in the Past Year' and 'TIMES each Day (on average)'.
  6. Also, indicate the age at which you began engaging in these self-injury behaviors in the specified section.
  7. Continue through the list until all behaviors have been addressed. Ensure you leave blank any behavior you did not engage in over the past year.
  8. In the next section, assess your feelings and experiences related to self-injury. Respond to the statements about emotions and urges by selecting one of the provided options ranging from 'None of the Time' to 'All of the Time' for each statement.
  9. Answer the final set of statements regarding expectations when self-injuring, selecting from 'Strongly Agree' to 'Strongly Disagree' as applicable.
  10. Once you have completed the form, review your responses for accuracy. Save any changes, and then choose an option to download, print, or share the completed form as needed.

Take the next step toward understanding and managing self-injury behaviors by completing the Alexian Brothers Assessment Of Self-Injury Short Form online.

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The Clinician-Rated Severity of Nonsuicidal Self-Injury is rated on a 5-point scale (Level 0=None; 1=Subthreshold; 2=Mild; 3=Moderate; and 4=Severe).

NSSI refers to the intentional destruction of one's own body tissue without suicidal intent and for purposes not socially sanctioned. Common examples include cutting, burning, scratching, and banging or hitting, and most people who self-injure have used multiple methods.

Self-Injury Questionnaire (SIQ). The SIQ (1999), not to be confused with the SIQ identified in reference 16, is a 30-item, self-report measure that assesses self-harm behaviors in terms of their frequency, function, and association with histories of childhood trauma.

NSSI is the direct, deliberate destruction of one's own body tissue in the absence of suicidal intent. NSSI is direct in that the ultimate outcome of the self-injury occurs without intervening steps.

The Inventory of Statements About Self-Injury (ISAS) is a self-report measure designed to assess NSSI behaviors and functions. The current study examines the one-year test—retest reliability of the ISAS in a sample of young adult self-injurers.

Non-suicidal self-injury (NSSI) is defined as deliberately injuring oneself without suicidal intent. The most common form of NSSI is self-cutting, but other forms include burning, scratching, hitting, intentionally preventing wounds from healing, and other similar behaviors.

Symptoms of self-injury may include: Scars, often in patterns. Fresh cuts, scratches, bruises, bite marks or other wounds. Excessive rubbing of an area to create a burn.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232