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ADULT: OFF HOME DIRECTORY SEARCH RANDOM POLL MAKE A POLL

Self-Injury

Mostly for self-injurers. Please use the Talk about section. Any extra comments would be appreciated. It's something to think about.
What is the word you usually use when describing Self-Injury (SI)?
Self-Injury
Self-Harm
Self-Mutilation
Parasuicide
Specific (cutters, burners, etc.)
Other (please state)
What do you think Self-Injury is?
Emo/Goth
Trendy/attention-seeking
Crazy/Stupid
Needs help/love
Emotional outlet/Coping mechanism (faulty or not)
Artistic Expression
Suicide attempt
Other (please state)
Do you know anyone who Self-Injures?
Mom
Dad
Sister
Brother
Other Close Relative
Other Distant Relative
Boyfriend/husband
Girlfriend/Wife
Close Friend Male
Close Friend Female
Acquaintance
Only on internet, but personally
Not personally
Not at all
Other
Do you Self-Injure? (If no, do not answer any more questions)
Yes
No
Thought About it/Unsure
Used to
Age
-10
11-14
15-18
19-25
25-35
35-40
+40
Gender
Male
Female
Trans
Where you live (I’m hoping mostly for North-Americans)
Canada
United States
UK
France
Germany
China
Japan
Australia
Mexico
Middle-East
Africa
Other European
Other Asian
Other
Current Education
Pre-school
Elementary
Middle School/Junior High
High School
Private below High School
Private High School
Home below High School
Home High School
Drop-out
Post-Secondary
Working (Finished Education)
Retired
Sexual-Orientation
Straight
Bi
Homo
Undecided
What is your method of Self-Injury?
Cutting/scratching
Burning
Head-banging
Bashing/Punching self
Biting
Other (please state)
How often do you Self-Injure?
Whenever I can
Many times a day
Daily
Weekly
Monthly
Yearly
Periodically – when triggered
How many times will you self-injure in one period? (ex: how many cuts/burns?)
Only once
A few times
Quite a lot
Varies, usually very little
Varies, usually a lot
Where do you Self-Injure?
Where-ever
At home
At school
At work
Outside (public)
Outside (private)
Other (please state)
How long have you been self-injuring?
Less than 1 year
1-2 years
3-4 years
5-7 years
8-10 years
10-20 years
More than 20 years
When did you start?
Can’t remember
-3
4-6
7-10
11-13
14-16
17-19
20+
What caused you to start?
Family Abuse
Sexual Family Abuse
Abuse (out of family)
Sexual Abuse (out of family)
Bullying
Failing in School
Broken Heart
Family Arguments/divorce
Afraid of being suicidal/hurting someone
Physical handicap
Chronic/Terminal Illness
Mental handicap/disorder
Death of close friend/family
Peer Pressure
Saw video/celebrity
Failed Suicide Attempt
Other (please state)
Have you told anyone?
Yes
Only because they found out
I was in hospital/had no choice
They told me about themselves first
No
If you told anyone, who did you tell?
Close friend
Spouse/Partner/Boy or girlfriend
Family member
School Counsellor/teacher
Coach
Priest/Other Religious Counsellor
Professional Therapist
Police
Another Self-Injurer
Other (please state)
Have you ever been hospitalized because of Self-Injury?
Yes
No
Have you been diagnosed with a mental disorder?
No
Multiple Personality Disorder/Disassociative Identity Disorder
Borderline Personality Disorder
Depression
Bipolar Disorder/Manic Depression
Eating Disorders
Post-Traumatic Stress Disorder
Autism/Asperger's Syndrome
Obsessive-Compulsive Disorder
Schizophrenia
Other (please state)
Are you suicidal?
Yes
No
Not anymore
If you are an ex-self-injurer, what age did you stop?
Don’t know
-15
16-18
19-25
26-35
35-40
40+
This poll was created on 2005-11-19 06:36:16 by Semety