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Self Injury Survey 
16th-Apr-2008 08:24 am
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Under the link is a survey I have made about self injury in order for research purposes. Moderators, if this is unallowed, please feel free to delete this post. Surveyors, some topics in the survey may be triggering and uncomfortable, please read the disclaimer before you continue. Thank you for your time.

Disclaimer: this survey is on a strict volunteer basis where anonamosity is respected. There are topics in this survey that people may find triggering or uncomfortable, if you wish to continue this survey please feel free to skip any answers you do not wish to answer. Above all, I ask that you answer honestly in the hope that these results can help others.

1. Gender
Female
Male
Transgender

 
2. Sexual Orientation
Heterosexual
Gay/Lesbian
Bisexual
Asexual
 
3. Current Age
 
4. Age when you started self injurying
 
5. How do you self injure?
1. cutting
2. burning/abrasions
3. punching/hitting self
4. pulling out hair
5. scratching/picking/tearing skin
6. carving
7. branding
8. biting
9. overdosing on pills/poison/drugs
10. deliberately breaking bones
11. drug abuse
12. alcohol abuse
13. eating disorder
11. Other:
 
6. Where on your body do you self injure?
 
7. Have you ever attempted suicide?
 
8. Do you suffer from any of the following mental illnesses (only if diagnosed by a professional)
Anorexia/Bulimia
Depression
Bipolar Disorder
Borderline Personality Disorder
Post Traumatic Stress Disorder
Obsessive Compulsive Disorder
Anxiety Disorder/Panic Attacks
Dissociative Identity Disorder ( a.k.a. Multiple Personality)
Alcohol/Drug Addiction
Other:
 
Have you ever been sexually abused or raped?
 

Please email all completed surveys to selfinjuryhelp@gmail.com
Comments 
18th-May-2008 05:23 am (UTC)
Anonymous
1. Gender
Female
Male X
Transgender


2. Sexual Orientation
Heterosexual X
Gay/Lesbian
Bisexual
Asexual

3. Current Age
18
4. Age when you started self injurying
About 16
5. How do you self injure?
1. cutting
2. burning/abrasions
3. punching/hitting self
4. pulling out hair
5. scratching/picking/tearing skin
6. carving
7. branding
8. biting
9. overdosing on pills/poison/drugs
10. deliberately breaking bones
11. drug abuse
12. alcohol abuse
13. eating disorder X
11. Other:

6. Where on your body do you self injure?

7. Have you ever attempted suicide?
Multiple Times
8. Do you suffer from any of the following mental illnesses (only if diagnosed by a professional)
Anorexia/Bulimia X
Depression X
Bipolar Disorder
Borderline Personality Disorder
Post Traumatic Stress Disorder
Obsessive Compulsive Disorder
Anxiety Disorder/Panic Attacks
Dissociative Identity Disorder ( a.k.a. Multiple Personality)
Alcohol/Drug Addiction
Other:

Have you ever been sexually abused or raped?
no
29th-May-2008 06:00 pm (UTC)
Anonymous
1. Gender
Female


2. Sexual Orientation
Heterosexual

3. Current Age
18

4. Age when you started self injurying
10

5. How do you self injure?
1. cutting
2. burning/abrasions
3. punching/hitting self

5. scratching/picking/tearing skin
6. carving
7. branding
8. biting
9. overdosing on pills/poison/drugs
10. deliberately breaking bones

12. alcohol abuse


6. Where on your body do you self injure?
Everywhere


7. Have you ever attempted suicide?
yes


8. Do you suffer from any of the following mental illnesses (only if diagnosed by a professional)

Depression
Bipolar Disorder
Borderline Personality Disorder

Obsessive Compulsive Disorder
Anxiety Disorder/Panic Attacks

Alcohol/Drug Addiction


Have you ever been sexually abused or raped?
yes
20th-Aug-2009 09:59 am (UTC)
Anonymous
1. Gender: Female

2. Sexual Orientation: Heterosexual

3. Current Age: 16

4. Age when you started self injurying: 4

5. How do you self injure?: cutting(primary), eating disorder

6. Where on your body do you self injure?: lower right arm

7. Have you ever attempted suicide?: no but I've come really close(I had the pills crushed already)

8. Do you suffer from any of the following mental illnesses:
Depression, Post Traumatic Stress Disorder, Obsessive Compulsive Disorder, Anxiety Disorder/Panic Attacks

Have you ever been sexually abused or raped?: no
20th-Dec-2009 12:39 am (UTC)
Anonymous
1. Gender
FemaleX
Male
Transgender


2. Sexual Orientation
Heterosexual
Gay/Lesbian
BisexualX
Asexual

3. Current Age
12 3/4
4. Age when you started self injurying
10 or 11
5. How do you self injure?
1. cuttingX
2. burning/abrasions
3. punching/hitting selfX
4. pulling out hair
5. scratching/picking/tearing skinX
6. carving
7. branding
8. bitingX
9. overdosing on pills/poison/drugs
10. deliberately breaking bones
11. drug abuse
12. alcohol abuse
13. eating disorder
11. Other:

6. Where on your body do you self injure?
arms..legs..
7. Have you ever attempted suicide?
yes
8. Do you suffer from any of the following mental illnesses (only if diagnosed by a professional)
Anorexia/Bulimia
DepressionX
Bipolar Disorder
Borderline Personality Disorder
Post Traumatic Stress Disorder
Obsessive Compulsive DisorderX
Anxiety Disorder/Panic Attacks
Dissociative Identity Disorder ( a.k.a. Multiple Personality)
Alcohol/Drug Addiction
Other:

Have you ever been sexually abused or raped?
no
30th-Mar-2010 04:24 pm (UTC)
Anonymous
1. Gender
Female X
Male
Transgender


2. Sexual Orientation
Heterosexual X
Gay/Lesbian
Bisexual
Asexual

3. Current Age
15

4. Age when you started self injurying
13 or 14

5. How do you self injure?
1. cutting X
2. burning/abrasions
3. punching/hitting self
4. pulling out hair
5. scratching/picking/tearing skin
6. carving
7. branding
8. biting
9. overdosing on pills/poison/drugs
10. deliberately breaking bones
11. drug abuse
12. alcohol abuse
13. eating disorder
11. Other:

6. Where on your body do you self injure?
arms, wrists, legs, hips...

7. Have you ever attempted suicide?
no

8. Do you suffer from any of the following mental illnesses (only if diagnosed by a professional)
Anorexia/Bulimia
Depression X
Bipolar Disorder
Borderline Personality Disorder
Post Traumatic Stress Disorder
Obsessive Compulsive Disorder X
Anxiety Disorder/Panic Attacks X
Dissociative Identity Disorder ( a.k.a. Multiple Personality)
Alcohol/Drug Addiction
Other:

Have you ever been sexually abused or raped?
no
1st-May-2010 08:18 pm (UTC)
Anonymous
1. Gender: Female

2. Sexual Orientation: Straight

3. Current Age: 18

4. Age when you started self injuring: 15

5. How do you self injure?
cutting, burning/abrasions, alcohol abuse

6. Where on your body do you self injure?
Arms & legs

7. Have you ever attempted suicide?
Yes

8. Do you suffer from any of the following mental illnesses (only if diagnosed by a professional)
Depression

Have you ever been sexually abused or raped?
No
3rd-May-2010 06:35 am (UTC)
Anonymous
1. Gender
Female

2. Sexual Orientation
Bisexual

3. Current Age
16

4. Age when you started self injurying
13

5. How do you self injure?
cutting, burning, scratching, tearing skin, branding, alcohol abuse, eating disorder

6. Where on your body do you self injure?
ankles, legs, feet, arms, wrists

7. Have you ever attempted suicide?
No.

8. Do you suffer from any of the following mental illnesses (only if diagnosed by a professional)
Anorexia/Bulimia, Depression

9. Have you ever been sexually abused or raped?
No
16th-Nov-2010 10:32 am (UTC)
Anonymous
Female


2. Sexual Orientation
Heterosexual

3. 16 years old

4. 14 years old.

5. How do you self injure?
1. cutting
3. punching/hitting self
9. overdosing on pills/poison/drugs
10. deliberately breaking bones
11. drug abuse
12. alcohol abuse
13. eating disorder

6. my arms

7. Have you ever attempted suicide?yeah

8. Do you suffer from any of the following mental illnesses (only if diagnosed by a professional)
Anorexia/Bulimia
Depression
Obsessive Compulsive Disorder
Alcohol/Drug Addiction

Have you ever been sexually abused or raped?
yes
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