Table 4.

Examples of two participant’s diary entries regarding their most significant NSSI-image on days with (left) and without NSSI (right; one participant per row)

Image followed by NSSI							Image followed by different action
Day in study	Times and number of occurrence of NSSI- images	Content	Predominant emotion afterwards	Meaning of the image	Action after the image	Time of NSSI	Day in study	Times and number of occurrence of NSSI- images	Content	Predominant emotion afterwards	Meaning of the image	Urge to act	Action after the image
4	2 pm (twice)	I see myself as I slit open my arms.	determined	It felt as though the outcome of the fight against the urge to self-injure was decided upon for today.	NSSI	2:30 pm	7	5:15 pm through 9 pm (4 times)	I see my skin, my arms, my upper legs and feel an anxious expectation of pain, I see the traces of bloody scratches on my skin, see my cut nails, imagine the feeling of unfiled edges on my skin	Lost, stupid	Feelings such as self-hatred, shame, stupidity, helplessness, etc. also a defeat before myself and people that I trust, that trust me	Wanted to disappear and to inflict pain on myself because of my existance	cried
4	10 pm-12:30 pm (6times)	I take a knife into my hand. Situation before actual NSSI is displayed. Taking a deep breath. (…) Observer perspective. Feel a tingling, nervousness, excitement, and anxiety. I sweat.	resignation	Pain, satisfaction, anxiety, (…) a task that has yet to be fulfilled today; see the due self-injury as an assignment. Paying for blood as a compensation for overeating (…) NSSI as a way to accept myself.	eating	1 am	3	10 pm-11:30 pm (4 times)	Large knife that I run into my belly. Blood splattering.	Desparate, sad	Rage and hatred towards myself; being torn between the longing to give in to the image and trying to refuse	NSSI	eating