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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)

From: Mental images, entrapment and affect in young adults meeting criteria of nonsuicidal self-injury disorder (NSSID) – a daily diary study

Image followed by NSSIImage followed by different action
Day in studyTimes and number of occurrence of NSSI- imagesContentPredominant emotion afterwardsMeaning of the imageAction after the imageTime of NSSIDay in studyTimes and number of occurrence of NSSI- imagesContentPredominant emotion afterwardsMeaning of the imageUrge to actAction after the image
42 pm (twice)I see myself as I slit open my arms.determinedIt felt as though the outcome of the fight against the urge to self-injure was decided upon for today.NSSI2:30 pm75:15 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 skinLost, stupidFeelings such as self-hatred, shame, stupidity, helplessness, etc. also a defeat before myself and people that I trust, that trust meWanted to disappear and to inflict pain on myself because of my existancecried
410 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.resignationPain, 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.eating1 am310 pm-11:30 pm (4 times)Large knife that I run into my belly. Blood splattering.Desparate, sadRage and hatred towards myself; being torn between the longing to give in to the image and trying to refuseNSSIeating