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Claiming DLA - 10

•  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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