[Twounwhe]

> We follow-up 5hrs later and ask general questions about their experience with the life line.

> If they are experiencing self harm, in addition to crisis lines, we offer them a single-session online intervention on managing sh. For that, we see significant improvements pre vs post on measures like “self-hatred”, and “desire to stop selfharm”, with medium effect sizes (.4-.8 cohen’s d). Very hard to show enduring effects for this, however.

Are you measuring in such a way that you can realistically determine which effects are due to the online intervention and which are due to the SH itself? I ask because after SH, especially a few hours later, I consistently have increased "desire to stop selfharm", and lessened "self-hatred". SH has that effect on me, hence its unfortunate use as a coping mechanism.

[robertrmorris]

Good questions. And your experience makes a lot of sense. Ideally, we would see positive changes persist over many time points (and so we aren't measuring immediately before self-harming and immediately after). I'd be really grateful if you tried it provided some feedback for us: https://join.kokocares.org/koko-referral-lifelines?source=hn

Scroll to the bottom to try the "managing self-harm" mini course. It only takes 7-8min and there is a spot for feedback at the end.

[Twounwhe]

Thanks for the reply.

When I click on the "managing self-harm" course, I only see a "form.typeform.com refused to connect" error. Seems this is because I'm using tor, which is the only way I'd feel comfortable legitimately using the service. Would be nice if there were a way to use the service via tor.

I did complete the course. All the negativity coupled with "it's easy!!" made me feel worse, but sounds like I'm an outlier. Is there a reason there are no positive statements in the course, like "I think I'm a good person"?