Non-suicidal self-injury in adolescence: a validation of the Chinese version of the Inventory of Statements About Self-Injury in student populations

BackgroundThe Inventory of Statements About Self-Injury (ISAS) is a widely utilized scale for evaluating the 13 potential functions that motivate non-suicidal self-injury(NSSI) behaviors. However, its validation for assessing such motivation in a Chinese context is still lacking.AimsThe main objecti...

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Main Authors: Xinhe Tian, Hebin Huang, Weicong Lu, Ruoxi Zhang, Runhua Wang, Xiaoyue Li, Danping Li, Yanling Gao, Shiyun Wu, Guiyun Xu, Robin Shao, Kangguang Lin
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1510681/full
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author Xinhe Tian
Xinhe Tian
Hebin Huang
Hebin Huang
Weicong Lu
Weicong Lu
Ruoxi Zhang
Ruoxi Zhang
Runhua Wang
Runhua Wang
Xiaoyue Li
Xiaoyue Li
Danping Li
Danping Li
Yanling Gao
Yanling Gao
Shiyun Wu
Shiyun Wu
Guiyun Xu
Guiyun Xu
Robin Shao
Robin Shao
Robin Shao
Kangguang Lin
Kangguang Lin
Kangguang Lin
Kangguang Lin
author_facet Xinhe Tian
Xinhe Tian
Hebin Huang
Hebin Huang
Weicong Lu
Weicong Lu
Ruoxi Zhang
Ruoxi Zhang
Runhua Wang
Runhua Wang
Xiaoyue Li
Xiaoyue Li
Danping Li
Danping Li
Yanling Gao
Yanling Gao
Shiyun Wu
Shiyun Wu
Guiyun Xu
Guiyun Xu
Robin Shao
Robin Shao
Robin Shao
Kangguang Lin
Kangguang Lin
Kangguang Lin
Kangguang Lin
author_sort Xinhe Tian
collection DOAJ
description BackgroundThe Inventory of Statements About Self-Injury (ISAS) is a widely utilized scale for evaluating the 13 potential functions that motivate non-suicidal self-injury(NSSI) behaviors. However, its validation for assessing such motivation in a Chinese context is still lacking.AimsThe main objective was to access the validation of ISAS as an instrument in Chinese young population.MethodA total of 1,106 completed online self-report questionnaires were collected, with 167 reporting a history NSSI. The age range of these individuals was 12 to 24 years old, comprising 74 female and 93 male participants. The factor structure and construct validity were calculated using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The correlations of the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder-7 (GAD-7), the Brief Self-Control Scale (BSCS), the Self-Rating Idea of Suicide Scale (SIOSS), and the Chinese version of the ISAS were tested using bivariate correlation analyses.ResultsThe internal consistencies of the Chinese version of the ISAS were good to excellent, with 0.788- 0.950 and 0.80-0.949 in the sports group and the junior high school group, respectively. EFA and CFA exhibited a good two-factor structure model (NFI = 0.942, CFI = 0.974, IFI = 0.974, RMSEA = 0.068, SRMR = 0.043, CMIN/DF = 1.762). Moreover, the scores of the functions of the ISAS were correlated with depression (r=0.208, p<0.01), anxiety (r=0.223, p<0.01), suicidal ideation (r=0.322, p<0.01), and low self-control (r=-0.230, p<0.01).ConclusionThis study validates the Chinese ISAS as a reliable NSSI measure, identifies a two-factor structure, and aims to inform targeted interventions and future research on self-injury behaviors among Chinese adolescents.
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spelling doaj-art-9ebaed4643da4772b7933e3b137b85102025-08-20T03:05:01ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-02-011610.3389/fpsyt.2025.15106811510681Non-suicidal self-injury in adolescence: a validation of the Chinese version of the Inventory of Statements About Self-Injury in student populationsXinhe Tian0Xinhe Tian1Hebin Huang2Hebin Huang3Weicong Lu4Weicong Lu5Ruoxi Zhang6Ruoxi Zhang7Runhua Wang8Runhua Wang9Xiaoyue Li10Xiaoyue Li11Danping Li12Danping Li13Yanling Gao14Yanling Gao15Shiyun Wu16Shiyun Wu17Guiyun Xu18Guiyun Xu19Robin Shao20Robin Shao21Robin Shao22Kangguang Lin23Kangguang Lin24Kangguang Lin25Kangguang Lin26Department of Affective Disorder, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, ChinaKey Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, ChinaDepartment of Affective Disorder, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, ChinaKey Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, ChinaDepartment of Affective Disorder, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, ChinaKey Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, ChinaDepartment of Affective Disorder, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, ChinaKey Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, ChinaDepartment of Affective Disorder, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, ChinaKey Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, ChinaDepartment of Affective Disorder, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, ChinaKey Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, ChinaDepartment of Affective Disorder, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, ChinaKey Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, ChinaDepartment of Affective Disorder, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, ChinaKey Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, ChinaDepartment of Affective Disorder, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, ChinaKey Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, ChinaDepartment of Affective Disorder, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, ChinaKey Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, ChinaDepartment of Affective Disorder, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, ChinaKey Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, ChinaState Key Laboratory of Brain and Cognitive Sciences, Department of Psychology, University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaDepartment of Affective Disorder, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, ChinaKey Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, Guangdong, ChinaSchool of Health and Life Sciences, University of Health and Rehabilitation Sciences, Qingdao, Shandong, ChinaDepartment of Neurology, Lecong Hospital of Shunde, Foshan, Guangdong, ChinaBackgroundThe Inventory of Statements About Self-Injury (ISAS) is a widely utilized scale for evaluating the 13 potential functions that motivate non-suicidal self-injury(NSSI) behaviors. However, its validation for assessing such motivation in a Chinese context is still lacking.AimsThe main objective was to access the validation of ISAS as an instrument in Chinese young population.MethodA total of 1,106 completed online self-report questionnaires were collected, with 167 reporting a history NSSI. The age range of these individuals was 12 to 24 years old, comprising 74 female and 93 male participants. The factor structure and construct validity were calculated using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The correlations of the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder-7 (GAD-7), the Brief Self-Control Scale (BSCS), the Self-Rating Idea of Suicide Scale (SIOSS), and the Chinese version of the ISAS were tested using bivariate correlation analyses.ResultsThe internal consistencies of the Chinese version of the ISAS were good to excellent, with 0.788- 0.950 and 0.80-0.949 in the sports group and the junior high school group, respectively. EFA and CFA exhibited a good two-factor structure model (NFI = 0.942, CFI = 0.974, IFI = 0.974, RMSEA = 0.068, SRMR = 0.043, CMIN/DF = 1.762). Moreover, the scores of the functions of the ISAS were correlated with depression (r=0.208, p<0.01), anxiety (r=0.223, p<0.01), suicidal ideation (r=0.322, p<0.01), and low self-control (r=-0.230, p<0.01).ConclusionThis study validates the Chinese ISAS as a reliable NSSI measure, identifies a two-factor structure, and aims to inform targeted interventions and future research on self-injury behaviors among Chinese adolescents.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1510681/fullnon-suicidal self-injuryChinesemeasurementvalidationself-injurious behavior
spellingShingle Xinhe Tian
Xinhe Tian
Hebin Huang
Hebin Huang
Weicong Lu
Weicong Lu
Ruoxi Zhang
Ruoxi Zhang
Runhua Wang
Runhua Wang
Xiaoyue Li
Xiaoyue Li
Danping Li
Danping Li
Yanling Gao
Yanling Gao
Shiyun Wu
Shiyun Wu
Guiyun Xu
Guiyun Xu
Robin Shao
Robin Shao
Robin Shao
Kangguang Lin
Kangguang Lin
Kangguang Lin
Kangguang Lin
Non-suicidal self-injury in adolescence: a validation of the Chinese version of the Inventory of Statements About Self-Injury in student populations
Frontiers in Psychiatry
non-suicidal self-injury
Chinese
measurement
validation
self-injurious behavior
title Non-suicidal self-injury in adolescence: a validation of the Chinese version of the Inventory of Statements About Self-Injury in student populations
title_full Non-suicidal self-injury in adolescence: a validation of the Chinese version of the Inventory of Statements About Self-Injury in student populations
title_fullStr Non-suicidal self-injury in adolescence: a validation of the Chinese version of the Inventory of Statements About Self-Injury in student populations
title_full_unstemmed Non-suicidal self-injury in adolescence: a validation of the Chinese version of the Inventory of Statements About Self-Injury in student populations
title_short Non-suicidal self-injury in adolescence: a validation of the Chinese version of the Inventory of Statements About Self-Injury in student populations
title_sort non suicidal self injury in adolescence a validation of the chinese version of the inventory of statements about self injury in student populations
topic non-suicidal self-injury
Chinese
measurement
validation
self-injurious behavior
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1510681/full
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