SBQ-R
Your birthdate and date of your first DBTCSD therapy session are needed for us to identify your data while keeping it anonymous to others. Your data will be transmitted securely as scrambled numbers without any text labels.
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Birthday *
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DD
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Name *
Since your first therapy session at DBT San Diego, have you deliberately hurt yourself physically (such as cut or burned yourself), but were not trying or expecting to die? *
If you answered yes to the previous question: When was the last time you did this?
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Within the last month, have you thought about or attempted to kill yourself? *
Since your first DBT session, have you gone to a hospital emergency room or been admitted to a psychiatric hospital because of suicidal behavior or ideation, or self-injury? *
If you answered yes to the previous question: When was the last time?
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How often have you thought about killing yourself within the last month? *
Within the last month, have you told someone that you were going to commit suicide, or that you might do it?
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How likely is it that you will attempt suicide one day? *
Do you currently have a plan for how you would go about killing yourself, if you decided to do it? *
The questions below apply to the last week. Select the most appropriate statements.
How often have you thought about injuring yourself or about how you want to injure yourself?
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At the most severe point, how strong was your urge to self-injure in the last week?
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How much time have you spent thinking about injuring yourself or about how you want to injure yourself?
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How difficult was it to resist injuring yourself in the last week?
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Keeping in mind your responses to the previous questions, please rate your overall average urge or desire to injure yourself in the last week.
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