Self-Injurious Behavior and Related School-Based I

Hello:

You are invited to participate in a survey designed to gather data on the topic of self-injury. We are interested in educating school personnel on the topic, as well as developing school-based interventions in order to provide support and care to students. In this survey, approximately 500 people will be asked to complete a survey that asks questions about their history, feelings, and habits involving self-injury. It will take approximately 15 minutes to complete the questionnaire. The study is being conducted by University of Kentucky graduate student, Jessica Shoemake, under the direct supervision of Dr. H. Thompson Prout. Both are affiliated with the School Psychology department at the Univeristy of Kentucky.

Your participation in this study is completely voluntary. Material covered in the survey may be triggering. If you feel uncomfortable answering any questions, or feel triggered by any of the material, you can withdraw from the survey at any point. If you chose to withdrawl from the survey, please go to the last page and view the list of links provided to offer support and help to deal with the negative feelings you may be experiencing.

Your survey responses will be stricly confidential, and data from this research will only be reported once it is combined with the data from other participants. Your information will be coded and kept confidential. You will not be asked to provide any identifying information, such as name, email address, or birth date. Due to the online nature of the survey, it is possible for third parties to intercept electronic data transmissions; therefore, it cannot be guaranteed that all information submitted via the internet will be private. If you have questions at any time about the survey or the procedures, you may contact Jessica Shoemake at (270) 706-8009, or by email at [email protected].

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below. Once again, there are several links to online support/information groups listed on the final page of the survey.

Please contact [email protected] if you have any questions regarding this survey.