Benefits and Mental Health
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Claiming DLA - 10

SECTION 2— Supervision needs (2)

I have tried killing myself (give details if you feel able to)
I have planned how I am going to kill myself
I was in intensive care for...
They put me on a drip
I ended up in hospital because someone found me...
I don’t think I really wanted to die, but I did want things to stop...
I cut myself with razor blades/ knives/ glass
I burn myself deliberately - it helps when things feel too much
I don’t feel able to go to the doctor when I’ve done this - they don't understand
I’ve ended up stitching up my own cuts
I have bad scars
I don’t look after myself
I don’t eat enough (explain with examples as for ‘mealtimes’)
This is very dangerous because of my diabetes
I stop eating/ refuse to eat
I have difficulties looking after my children without help
I get very angry and trash the place - I have hurt myself by punching walls/ doors (detail if possible)
I get very angry and hurt others (physically or emotionally? Explain as much as you feel able to)
When I lose it I don’t know what I’m doing/ can’t remember what I’ve done
I do stupid things - like climb onto the roof of a building
I thought I could fly...
I walked out into the road because I was convinced I could stop the traffic
I spend money I just haven’t got
I give my money away to other people
People take advantage of me
I sometimes go off to big towns - I’ve spent weeks/ months living on the streets
I end up with people I shouldn’t go with - my support worker says I am very vulnerable

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