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Cited by 159Suicide and Self-Harm StudiesPsychological Testing and AssessmentAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Assessment of self-Injurious thoughts using a behavioral test

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Nock, Matthew K., Banaji, Mahzarin R.·2007·American Journal of Psychiatry
DOI 10.1176/ajp.2007.164.5.820
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Abstract

Objective: The assessment of self-injurious thoughts has been limited by a reliance on what individuals are willing or able to report explicitly. The authors examined a new method that measures self-injurious thoughts by using individuals’ reaction times to self-injury-related stimuli on a computerized test. Method: Eighty-nine adolescents who were not self-injurious (N=36) or had recently engaged in nonsuicidal self-injury (N=53) completed two versions of the Self-Injury Implicit Association Test, which measure the automatic association of self-injury with oneself and with favorableness. Results The tests revealed significant behavioral differences between the self-injurers and noninjurers. Moreover, test scores significantly improved the statistical prediction of nonsuicidal self-injury beyond that achieved with demographic and psychiatric factors. Conclusions: These initial results support the validity of the Self-Injury Implicit Association Test as a performance-based measure of self-injurious thoughts. Future research should further examine the usefulness of incorporating implicit measures in risk assessment and decision-making procedures for self-injury and other sensitive clinical behaviors.

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  • Implicit measurement of suicide-related constructs may be an effective strategy to circumvent concerns about disclosure.

    “Implicit measurement of suicide-related constructs (e.g., through reaction time-based tasks) may be an effective strategy to circumvent these concerns”

    From The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. (2017) · cites this paper as Nock & Banaji, 2007

  • Nock and colleagues adapted the IAT to measure both non-suicidal self-injury and associations between the self and death/life.

    “Although the IAT was initially developed in the social psychology literature, Nock and colleagues adapted it to measure both non-suicidal self-injury and associations between the self and death/life (53, 54).”

    From New methods for assessing rapid changes in suicide risk (2021) · cites this paper as [53]

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Authors
Nock, M. K., & Banaji, M. R.
Affiliations
Harvard University (US)
Corresponding author
Nock, Matthew K.
ORCID
Nock, Matthew K.
Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
2007-05
Volume
164
Issue
5
Pages
820-823
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
DOI
10.1176/ajp.2007.164.5.820
OpenAlex
W2167826805
Cited by
158
References
15
Citations by year
2026: 2 · 2025: 7 · 2024: 4 · 2023: 7 · 2022: 5 · 2021: 11 · 2020: 4 · 2019: 6 · 2018: 21 · 2017: 10 · 2016: 11 · 2015: 15 · 2014: 6 · 2013: 7 · 2012: 8
FWCI
9.46
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
Funders
National Institute of Mental Health (MH-57672, R03MH076047, R01MH057672, MH076047)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
non-suicidal self-injury, self-injurious thoughts, implicit associations, reaction time, adolescents, automatic associations, risk assessment, performance-based assessment
MeSH terms
Adolescent, Adult, Association, Decision Making, Female, Humans, Male, Psychological Tests, Psychometrics, Reaction Time, Self Disclosure, Software, Suicide, Attempted, Thinking, Reproducibility of Results, Self-Injurious Behavior, Risk Assessment

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