ArticleBMC psychiatry2025
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.
Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Adolescent non-suicidal self-injury scale - short form: revision and evaluation of its reliability and validity.Frontiers in psychiatry · 2026Article
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7 authors.
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Abstract
backgroundSelf-injurious thoughts and behaviors (SITBs) increasingly prevalent among youth, with particularly high rates in China. Existing assessment tools often lack comprehensiveness or cultural adaptation. This study aimed to translate and validate the Self-Injurious Thoughts and Behaviors Interview-Revised (SITBI-R) for Chinese adolescents in clinical settings and evaluate its diagnostic accuracy against DSM-5 criteria and suicide risk assessment protocols.
methodsA total of 170 adolescents aged 12-19 years were recruited from two psychiatric hospitals. The Chinese version of SITBI-R (C-SITBI-R) was compared with established instruments including the M.I.N.I., self-report scales for non-suicidal self-injury assessment, and DSM-5 diagnostic criteria. Content validity, construct validity, test-retest reliability, interrater reliability, and diagnostic agreement were evaluated.
resultsThe C-SITBI-R exhibited excellent content validity (I-CVI = 1.00, S-CVI/UA = 1.00) and significant construct validity correlations with validation instruments. Perfect interrater agreement was achieved (all κ and ICC values = 1.00, p < 0.001), while test-retest reliability showed excellent consistency for lifetime presence and timing variables (κs = 0.78-1.00, ICCs = 0.93-1.00, p < 0.001), and moderate to strong agreement for past month frequencies of major SITBs (ICCs = 0.64-0.75, p < 0.001).High diagnostic consistency was observed with DSM-5 criteria for NSSI (κ = 1.00) and SBD (κ = 0.86), and M.I.N.I. suicide risk assessment (κ = 0.94).
conclusionsThe C-SITBI-R demonstrates strong psychometric properties and cultural adaptation for systematic assessment of SITBs among Chinese adolescents. Its strong diagnostic accuracy and clinical feasibility support its implementation in routine psychiatric practice for enhanced identification and management of at-risk youth.
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