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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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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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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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