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Self Harm Impulse-Control-Log
Self Harm Impulse-Control-Log
Time & What Would Self-
Thoughts Location Situation Feelings (3)
Date Injury Accomplish?
I
was
by
myself
thinking
about
Depressed,
9:00
pm
I
hate
myself.
My
bedroom
a
negative
comment
someone
Embarrassed,
Distract
me
from
pain?
5/15/13
made.
Lonely
Impulse Control Log - side 2