FASM

Functional Assessment of Self-Mutilation

Document methods, frequency, medical treatment, contextual features, and functions of deliberate self-harm during the past year.

The measure’s original title is retained. Current clinical terminology generally uses nonsuicidal self-injury (NSSI) when the behavior occurs without intent to die.

A. Past-Year Behaviors

Select each behavior used deliberately to cause self-harm during the past year, then document frequency and whether medical treatment was received.

B. If not in the past year, have any of the above acts ever occurred?

C-G. Contextual Features

H. Reasons for Self-Harm

Rate how often self-harm occurred for each reason.

0 Never1 Rarely2 Some3 Often

Results

Past-year methods

Total across methods

Highest Endorsed Reasons

No diagnostic cutoff is established. Function scores are mean item ratings from 0-3, allowing comparison across subscales of different lengths. They describe reported reasons and should be integrated with interview, antecedents, consequences, context, and safety assessment.

Generated Documentation

Output style Narrative List

Clinical Note

The FASM is a functional self-report assessment, not a diagnosis or a substitute for direct suicide risk assessment. The four function profiles reflect the reinforcement model studied in adolescent samples; the client’s own explanation and clinical context remain central.

Measure: Lloyd, Kelley, and Hope (1997). Four-function scoring: Nock and Prinstein (2004, 2005).