What is your sex?
1 = Male
2 = Female

Have you ever engaged in nonsuicidal self-injury?
0 = No
1 = Yes

How many times have you self-injured in the last year?
0 = None
1 = Once
2 = Twice
3 = Three times
4 = Four times
5 = 5 or more times

Main form of self-injury
1 = Cutting
2 = Biting
3 = Burning
4 = Carving
5 = Pinching
6 = Pulling hair
7 = Severe scratching
8 = Banging or hitting yourself
9 = Interfering with wound healing
10 = Rubbing skin against rough surface
11 = Sticking yourself with needles
12 = Swallowing dangerous substances
13 = Other

Feeling distressed or upset is unbearable to me.
1 = Strongly agree
2 = Mildly agree
3 = Agree and disagree equally
4 = Mildly disagree
5 = Strongly Disagree