My name is Sara Slayden and I am doing research as a student at Loyola Marymount University. The following questionnaire is designed to measure non-suicidal self-injury in order to add to the growing body of knowledge on this disorder. Self-injury is defined as doing deliberate and immediate harm to the body without the intention of suicide. Information regarding the type and frequency of physical harm is key to the assessment and effective treatment of those suffering from self-injury.

I invite you to take this questionnaire regardless of experience with, or exposure to, self-injury. Participation is completely voluntary and you may stop at any time if involvement causes any emotional distress. The entire questionnaire should take no more than 15- 20 minutes. By answering yes to the question below, you are giving your informed consent to take this questionnaire.