Nonsuicidal self-injury disorder: The path to diagnostic validity and final obstacles

Edward A. Selby, Amy Kranzler, Kara B. Fehling, Emily Panza

Research output: Contribution to journalReview article

37 Citations (Scopus)

Abstract

After decades of researchers calling for the creation of a self-injury syndrome, the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders listed Nonsuicidal Self-Injury (NSSI) disorder as a condition for further study. The purpose of this review is to provide information about the current status of research on NSSI disorder, current arguments for and against the disorder's creation, and areas that require further research. Specifically, we address the five biggest obstacles to validation: the need for clear delimitation from other psychiatric disorders as well as suicidal behavior, the need to fully explore the developmental course of the disorder, empirically establishing the most appropriate diagnostic criteria, and the potential clinical utility of creating a new disorder. With further research in these key areas, we expect that there will soon be enough evidence for the validity of NSSI disorder to warrant its inclusion in a future edition of the DSM.

Original languageEnglish (US)
Pages (from-to)79-91
Number of pages13
JournalClinical Psychology Review
Volume38
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Fingerprint

Wounds and Injuries
Research
Diagnostic and Statistical Manual of Mental Disorders
Psychiatry
Research Personnel

Keywords

  • Borderline personality disorder
  • Diagnosis
  • Self-harm
  • Self-injury
  • Self-mutilation

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Nonsuicidal self-injury disorder : The path to diagnostic validity and final obstacles. / Selby, Edward A.; Kranzler, Amy; Fehling, Kara B.; Panza, Emily.

In: Clinical Psychology Review, Vol. 38, 01.01.2015, p. 79-91.

Research output: Contribution to journalReview article

Selby, Edward A. ; Kranzler, Amy ; Fehling, Kara B. ; Panza, Emily. / Nonsuicidal self-injury disorder : The path to diagnostic validity and final obstacles. In: Clinical Psychology Review. 2015 ; Vol. 38. pp. 79-91.
@article{c10ad1e206334846b3ac55a63070b133,
title = "Nonsuicidal self-injury disorder: The path to diagnostic validity and final obstacles",
abstract = "After decades of researchers calling for the creation of a self-injury syndrome, the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders listed Nonsuicidal Self-Injury (NSSI) disorder as a condition for further study. The purpose of this review is to provide information about the current status of research on NSSI disorder, current arguments for and against the disorder's creation, and areas that require further research. Specifically, we address the five biggest obstacles to validation: the need for clear delimitation from other psychiatric disorders as well as suicidal behavior, the need to fully explore the developmental course of the disorder, empirically establishing the most appropriate diagnostic criteria, and the potential clinical utility of creating a new disorder. With further research in these key areas, we expect that there will soon be enough evidence for the validity of NSSI disorder to warrant its inclusion in a future edition of the DSM.",
keywords = "Borderline personality disorder, Diagnosis, Self-harm, Self-injury, Self-mutilation",
author = "Selby, {Edward A.} and Amy Kranzler and Fehling, {Kara B.} and Emily Panza",
year = "2015",
month = "1",
day = "1",
doi = "10.1016/j.cpr.2015.03.003",
language = "English (US)",
volume = "38",
pages = "79--91",
journal = "Clinical Psychology Review",
issn = "0272-7358",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Nonsuicidal self-injury disorder

T2 - The path to diagnostic validity and final obstacles

AU - Selby, Edward A.

AU - Kranzler, Amy

AU - Fehling, Kara B.

AU - Panza, Emily

PY - 2015/1/1

Y1 - 2015/1/1

N2 - After decades of researchers calling for the creation of a self-injury syndrome, the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders listed Nonsuicidal Self-Injury (NSSI) disorder as a condition for further study. The purpose of this review is to provide information about the current status of research on NSSI disorder, current arguments for and against the disorder's creation, and areas that require further research. Specifically, we address the five biggest obstacles to validation: the need for clear delimitation from other psychiatric disorders as well as suicidal behavior, the need to fully explore the developmental course of the disorder, empirically establishing the most appropriate diagnostic criteria, and the potential clinical utility of creating a new disorder. With further research in these key areas, we expect that there will soon be enough evidence for the validity of NSSI disorder to warrant its inclusion in a future edition of the DSM.

AB - After decades of researchers calling for the creation of a self-injury syndrome, the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders listed Nonsuicidal Self-Injury (NSSI) disorder as a condition for further study. The purpose of this review is to provide information about the current status of research on NSSI disorder, current arguments for and against the disorder's creation, and areas that require further research. Specifically, we address the five biggest obstacles to validation: the need for clear delimitation from other psychiatric disorders as well as suicidal behavior, the need to fully explore the developmental course of the disorder, empirically establishing the most appropriate diagnostic criteria, and the potential clinical utility of creating a new disorder. With further research in these key areas, we expect that there will soon be enough evidence for the validity of NSSI disorder to warrant its inclusion in a future edition of the DSM.

KW - Borderline personality disorder

KW - Diagnosis

KW - Self-harm

KW - Self-injury

KW - Self-mutilation

UR - http://www.scopus.com/inward/record.url?scp=84938743810&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84938743810&partnerID=8YFLogxK

U2 - 10.1016/j.cpr.2015.03.003

DO - 10.1016/j.cpr.2015.03.003

M3 - Review article

C2 - 25881206

AN - SCOPUS:84938743810

VL - 38

SP - 79

EP - 91

JO - Clinical Psychology Review

JF - Clinical Psychology Review

SN - 0272-7358

ER -