
                      Internet Self-Injury Questionnaire
                                       
   If you want me to contact you, you can include your email address in
   the comments section or just [1]send email. I try to answer all my
   mail that concerns self-harm but it may take a few months -- if you
   want an answer sooner, please [2]mail me. If you don't include an
   email address, you're totally anonymous. Thanks for sharing your
   story; you help others feel less alone and increase understanding.
   1. why do you injure yourself?
   
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   2. how do you self-injure most often? do you use other methods?
   if so, what are they?
   
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   3. do you feel pain during the act?
   
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   4.how do you feel before, during, after? how long does a session
   usually last?
   
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   5. do you have a ritual? what is it?
   
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   6. do drugs or alcohol play a role?
   
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   7. how do you know when it's time to stop a particular session?
   
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   8. do you have effective methods for stopping yourself? please
   describe them.
   
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   9. have you ever self-injured in front of anyone?
   
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   10. are you "out" about self-injury? how do you hide it? do you know
   anyone else who does this?
   
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   11. if you have told people about your self-injury, how did you do it?
   how did they react?
   
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   12. have you been medically treated for self-inflicted injuries? how
   many times? have the doctors pulled attitude on you?
   
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   13. Have you taken medication to control your self-injury? What meds
   (at what doses) worked best for you?
   
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   14. have you ever been hospitalized because of self-injury? what were
   the circumstances?
   
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   15. have you ever lost a therapist because s/he couldn't deal with
   your self-injurious behavior?
   
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   16. what other negative consequences has self-injury had for you?
   
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   17. do you suffer from other disorders (anorexia, depression,
   substance abuse, kleptomania, etc)? if so, what are they? were you
   abused or severely traumatized?
   
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   add any comments you want, or describe any incidents you want to.
   please include your gender, age, age of first self-injury, and years
   of education.
   
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   if you know someone who does this, pass along the URL for this page.
   if you'd rather not send this, just use your back button or left arrow
   key to get off this page.
   
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References

   1. mailto:llama@palace.net
   2. mailto:llama@palacenet
   3. file://localhost/usr/home/llama/Web/psych/injury.html
