Screening questions

Thank you for your interest in Samaritans research. 
About the research
We will be running online workshops with people aged 16+ who live in England and who have self-harmed in the past. To ensure we speak to speak to a diverse range of people, at this stage we're specifically asking males only to register their interest for the research.

The workshops will explore whether peer support could help people reduce or stop self-harm. You can read full information about the research here.
There will be no more than 5 other participants in the workshop with you. It will be run by two Samaritans researchers and will be an informal discussion, with exercises and group activities to help you provide feedback on ways peer support might be helpful, or unhelpful, for supporting people who have self-harmed. 
For the purposes of this project, we are defining self-harm as “any deliberate act of self-poisoning or self-injury without suicidal intent. This excludes accidents, substance misuse and eating disorders.”  

While unlikely, it’s possible that taking part may cause some distress. The research is entirely voluntary. During the session, you do not have to answer any questions that you do not want to answer. You are welcome to take a break – just ask the researcher. You can choose to leave the workshop at any point, without giving a reason. You can also withdraw consent for future use of your information up until 15th August by contacting
Please note that we will not be able to invite everyone who completes this survey to take part in the workshop, as we need to ensure we include a diverse group of people and there may be more respondents than there is space in the workshops. 

Privacy/data protection:  
This project is being conducted in line with Samaritans’ Research Ethics Policy which can be found here. All the survey data will be stored in accordance with the policy, confidentially and securely. Your data will be processed by Survey Monkey, and any information you enter will be stored temporarily in the US. By taking part in the survey you are consenting to any information that can identify you as an individual being stored in this way. Further details of Survey Monkey’s privacy and security measures can be found here.
Any information you provide will be used for the purpose of the project only. Any personal data you provide will be deleted one month after the project is complete. Any anonymised data will be deleted after five years.  

This survey will not be monitored regularly and does not provide access to emotional support. If you need emotional support, please call Samaritans for free on 116 123 or email You can also visit our website at 
The survey should take approximately 5 minutes to complete. 
By clicking ‘next’ below, you are confirming you understand the information above and consent to your information being used in this way.