ArticleFrontiers in psychiatry2021
Psychometric Properties of the Chinese Version of the Functional Assessment of Self-Mutilation (FASM) in Chinese Clinical Adolescents.
Article in Frontiers in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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47 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.
- Scars, screens, and stakes: Link between non-suicidal self-injury and problem gambling, problem gaming, and problematic internet use - A systematic review.Journal of behavioral addictions · 2025Pooled it
- Development and validation of supporting ability scale for caregivers of adolescents with non-suicidal self-injury.BMC psychology · 2026Article
- An online dynamic nomogram for estimating NSSI behavior among adolescents with depressive disorder.BMC psychiatry · 2026Article
- Longitudinal dynamics of harsh parenting and non-suicidal self-injury in Chinese adolescents: a three-wave RI-CLPM with basic psychological needs frustration as a mediator.BMC psychology · 2026Article
- Multifactorial associations of non-suicidal self-injury among adolescents with depression: a network analytic perspective.BMC psychology · 2026Article
- Association of problematic short-video use with adolescent depression: a cross-sectional study and machine learning identification model construction.BMC psychiatry · 2026Article
- The Role of Limited Emotion Regulation Strategies on Nonsuicidal Self-injury and Suicide Attempts among Chinese Adolescents: A Network Analysis Based on Jiangxi Province.Health data science · 2026Article
- Differential pathways from childhood maltreatment types to non-suicidal self-injury in adolescents with depressive disorders: a serial mediation model.Frontiers in psychiatry · 2026Article
- Longitudinal associations between multiple health-risk indicators and psychological distress among university students: a three-wave cross-lagged study.Frontiers in public health · 2026Article
- Statistical indirect associations of sleep disturbance and GAD symptoms in the relationship between childhood trauma and non-suicidal self-injury in adolescents with depression.Frontiers in psychology · 2026Article
- Machine learning-based nomogram for non-suicidal self-injury among depressed adolescents: a multicentre study.Frontiers in psychiatry · 2026Article
- Association between screen time and non-suicidal self-injury among adolescents: a compositional isotemporal substitution analysis.Frontiers in public health · 2026Article
- The Chinese version of the Self-Injurious thoughts and behaviors Interview-Revised (C-SITBI-R): assessing NSSI and suicidal behaviors among adolescents in clinical settings.BMC psychiatry · 2025Article
- Non-suicidal self-injury behaviours among adolescents in Beijing: protocol for an epidemiological and qualitative exploration.BMJ open · 2025Article
- Alexithymia and self-injury functions as mediators between childhood maltreatment and nonsuicidal self-injury in adolescents with major depressive disorder.Scientific reports · 2025Article
- The association between sleep and burnout in psychiatric nurses: a survey from China.BMC nursing · 2025Article
- Symptom network between problematic smartphone use and poor sleep quality in adolescents with depression.BMC psychiatry · 2025Article
- 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 · 2025Article
- The mediating role of cognitive flexibility in the relationship between social support and non-suicidal self-injury among adolescents: a multicenter cross-sectional study.Frontiers in psychology · 2025Article
- Sex differences in the prevalence and risk factors of non-suicidal self-injury behaviors among adolescent outpatients with major depressive disorder.Frontiers in psychiatry · 2025Article
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Authors and funding
11 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFunctional Assessment of Self-Mutilation (FASM) is one of the most widely used tools assessing adolescent's non-suicidal self-injury. However, the Chinese version of FASM (C-FASM) is lacking. The present study aimed to adapt the FASM to the Chinese patients and examine its reliability and validity.
methodsThe original English version of the FASM was translated into Chinese following Brislin's model of cross-culture translation, and then, pilot study and cognitive interview were carried out with 15 adolescent patients to assess the acceptability and comprehensibility of all items. The items were subsequently tested in a sample of 621 Chinese adolescent patients recruited by 20 psychiatric or general hospitals in nine provinces across China. We examined the distribution of responses for each item. Factor analysis, Cronbach's α and McDonald's Ω, intraclass coefficient, and Spearman's rank correlations were deployed to assess the dimensional structure, internal consistency reliability, test-retest reliability, and criterion validity.
resultsThe final adapted C-FASM included a 10-item method checklist and a 15-item function checklist of NSSI, and other characteristics of NSSI. C-FASM exhibited acceptable internal consistency (α = 0.81 and Ω = 0.80 for method checklist; α = 0.80 and Ω = 0.76 for function checklist) and test-retest reliability (method checklist: 0.79; function checklist: 0.87). Factor analysis for NSSI functions yielded a three-factor model with a good model fit. In addition, the instrument showed an expected correlation with the instrument of the Deliberate Self-Harm Behavior Inventory (
conclusionsThe C-FASM has good content, structural validity, and reliability. The instrument can be helpful to Chinese adolescents as a comprehensive measure of NSSI behaviors.
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