Deliberate Self Harm (DSH) is a pervasive issue in Pakistan. The limited research on this phenomenon conducted in Pakistan is restricted by the non-availability of an empirical assessment measure of self-harm in the Urdu language, hence relies mostly on the interviews of cases reported to the emergency departments and those translated does not necessarily carry the same connotation. An indigenous deliberate self-harm scale was developed to cater to this issue. Factors of DSH were identified using Nock’s integrated theoretical model and literature review. Sixty-five items were generated. Content Validity Index (CVI) was calculated. The scale was administered on a sample of 200 self-harm cases.EFA revealed a three-factor structure (i.e intrapersonal, interpersonal and situational) supported by Parallel Analysis. RASCH analysis supported the item fit. This scale can be a helpful tool for the researchers and clinicians to explore DSH in the native population.