Elucidating the association between the self-harm inventory and several borderline personality measures in an inpatient psychiatric sample

Int J Psychiatry Clin Pract. 2017 Sep;21(3):231-235. doi: 10.1080/13651501.2017.1306628. Epub 2017 Mar 31.

Abstract

Objective: The current study evaluated the utility of the self-harm inventory (SHI) as a proxy for and screening measure of borderline personality disorder (BPD) using several diagnostic and statistical manual of mental disorders (DSM)-based BPD measures as criteria.

Methods: We used a sample of 145 psychiatric inpatients, who completed the SHI and a series of well-validated, DSM-based self-report measures of BPD.

Results: Using a series of latent trait and latent class analyses, we found that the SHI was substantially associated with a latent construct representing BPD, as well as differentiated latent classes of 'high' vs. 'low' BPD, with good accuracy.

Conclusions: The SHI can serve as proxy for and a good screening measure for BPD, but future research needs to replicate these findings using structured interview-based measurement of BPD.

Keywords: Assessment; borderline personality disorder; self-harm inventory.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Borderline Personality Disorder / complications
  • Borderline Personality Disorder / diagnosis*
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Humans
  • Inpatients / psychology*
  • Male
  • Middle Aged
  • Personality Inventory*
  • Predictive Value of Tests*
  • Self-Injurious Behavior / complications
  • Self-Injurious Behavior / diagnosis*
  • Self-Injurious Behavior / psychology
  • Young Adult