Dr. Kennedy's Response:
The low correlation was addressed in the article:
"The correlation was small between the K Axis Violence Subscale and the HoNOS Item 2 (Non-accidental self-injury), because the sample used in this study was selected based on mostly violence to others, not violence to self."
There is a tremendous overlap between violence to self and violence to others; therefore, I included both in the Violence subscale.
On the other hand, there are important differences and to address this is the recommendation that the following be checked:
Primarily (check one): Non Violent__ Violent To Self__ Violent To Others__ To Self & Others__
I do not recommend changing the K Axis; however, it would be OK to record your ratings in a different manner, for example one may simply enter the K Axis score instead of checking the blank.
For example, a K Axis Violence score of 20 could be broken down as indicated below:
Primarily (check one): Non Violent__ Violent To Self_70_ Violent To Others_20_ To Self & Others__
The K Axis Violence rating would continue to be 20; however, you would also have the rating of both the Violence to Self (70) and Violence to Others (20).
I appreciate you thoughtful comments on the K Axis.
I hope this is helpful.
The Following Is A Similar Concept Involving Sexual Violence:
In the KennedyMD Newsletter September 2006, a method to separate out scoring for Sexual Violence was suggested. This can be very helpful when trying to focus on Sexual Violence:
Primarily (check one): Non Violent__ Violent To Self__ Violent To Others__ To Self & Others__ Sexual Violence Score: ____
See Newsletter for details as the following web address:
(Click Here to View the September 28, 2006 Newsletter)