Page 119 - Personality disorders and insecure attachment among adolescents
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5. If you injure yourself, how do you do that? (there is more than one answer possible)
O scratching
O cutting
O burning
O head banging O drinking
O pills
O otherwise, namely ..................................................................................
6a. You had the urge to injure yourself the last three months, but you did not do so? O Yes
O No
If so, how many times did that occur?
0 1-5 6-10 11-20 21-30 31-40 41-50 50 times or more
6b. How you can prevent yourself from self- injure?
..................................................................................................................... ............... ..................................................................................................... 7. How many times have you intended last year to stop with self-injuring?
0 1-5 6-10 11-20 21-30 31-40 41-50 50 times or more 8. How honest have you completed this questionnaire?
O O O
completely honest
a little honest completely not honest
9. Do you have more things you want to share about this?
................................................................................................................. ................................................................................................................. .................................................................................................................. ................................................................................................................. ................................................................................................................. .................................................................................................................
Thank you for your cooperation
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