Jigsaw: Live or die. Make your choice. Let the game begin.
Jigsaw: Congratulations. You are still alive. Most people are so ungrateful to be alive. But not you. Not anymore.
Adam: My name is very fucking confused.
Adam: I don't give a crap if you covered yourself and had a 15 hooker gang bang.
Answer: Since she was helping Jigsaw with his "game", chances are he told her to do it.