Samookaleczenie/cięcie się
Objawy

Niesamobójcze samookaleczenie (NSSI) definiuje się jako celowe, świadome uszkadzanie ciała bez intencji samobójczych, najczęściej w formie cięcia skóry (70-90%), uderzania głową (21-44%) lub przypalania (15-35%). Zachowanie to jest szczególnie powszechne wśród nastolatków i młodych dorosłych, z częstością występowania około 15-20% w populacji młodzieży, a średni wiek początku to 12-15 lat. NSSI pełni funkcję krótkotrwałego łagodzenia intensywnego dystresu emocjonalnego, jednak wiąże się z ryzykiem powikłań fizycznych (infekcje, trwałe blizny, uszkodzenia tkanek) oraz psychicznych (pogorszenie depresji, lęku, PTSD, wzrost ryzyka zachowań samobójczych). Samookaleczenie często współwystępuje z zaburzeniami psychicznymi, zwłaszcza zaburzeniem osobowości z pogranicza (50-80% przypadków) i chorobą afektywną dwubiegunową (około 50%). Istotne jest rozróżnienie NSSI od prób samobójczych, gdyż intencją NSSI jest ulga emocjonalna, a nie zakończenie życia, choć NSSI zwiększa ryzyko myśli i prób samobójczych (około 65% młodzieży samookaleczającej się doświadcza myśli samobójczych).

Definicja i charakterystyka samookaleczenia/cięcia się

Niesamobójcze samookaleczenie (ang. non-suicidal self-injury, NSSI), powszechnie nazywane samookaleczeniem lub samouszkodzeniem, definiowane jest jako celowe i świadome uszkadzanie własnego ciała bez intencji samobójczych. Ten typ zachowania stanowi szkodliwy sposób radzenia sobie z bólem emocjonalnym, smutkiem, złością i stresem.12 Samookaleczenie zazwyczaj nie jest próbą samobójczą, chociaż może zwiększać ryzyko samobójstwa z powodu problemów emocjonalnych, które je wywołują. Wzorzec uszkadzania ciała w chwilach cierpienia może zwiększać prawdopodobieństwo targnięcia się na własne życie w przyszłości.3

Samookaleczenie może przybierać różne formy i manifestować się odmiennie u różnych osób. Sposoby, w jakie ludzie mogą wyrządzać sobie krzywdę, wykraczają daleko poza typowe cięcie. W istocie, samookaleczenie to wszystko, co osoba może zrobić, aby celowo zranić swoje ciało.4 Najczęstszymi metodami są: cięcie skóry (70-90%), uderzanie lub walenie głową (21-44%) oraz przypalanie (15-35%).5 Inne formy samookaleczenia obejmują nadmierne drapanie do momentu krwawienia, uderzanie (siebie lub przedmiotów), infekowanie siebie, wkładanie przedmiotów do otworów ciała, picie szkodliwych substancji (np. wybielaczy czy detergentów) oraz celowe łamanie kości.6

Rozpowszechnienie i wiek wystąpienia samookaleczenia

Samookaleczenie jest najbardziej powszechne wśród nastolatków i młodych dorosłych. Wskaźniki występowania w tych populacjach wynoszą około 15-20%, a początek zazwyczaj przypada na wiek 13-14 lat.7 W przeciwieństwie do tego, tylko około 6% dorosłych zgłasza historię samookaleczenia. Zarówno u nastolatków, jak i dorosłych, wskaźniki samookaleczenia są najwyższe wśród populacji psychiatrycznych, szczególnie u osób wykazujących cechy związane z dystresem emocjonalnym, takie jak negatywna emocjonalność, depresja, lęk i dysregulacja emocji.8

Badania wskazują, że samookaleczenie dotyczy około 5% dorosłych, 17% nastolatków i między 17% a 35% studentów w USA. Chociaż początek samookaleczenia może wystąpić już w wieku 7 lat, średni wiek początku to zazwyczaj 12-15 lat.9 Wśród migrantów i uchodźców w młodym wieku wskaźniki niesamobójczego samookaleczenia są wyższe, z 18% do 60% osób, które dokonały samouszkodzenia w pewnym momencie po migracji.10

W przypadku osób z zaburzeniami odżywiania, około 30% osób, które uczestniczą w zachowaniach związanych z objadaniem się i przeczyszczaniem, również dokonuje samookaleczenia. Współwystępowanie objawów samookaleczenia i zaburzeń odżywiania wynosi około 25-50% u osób, które angażują się w jedno lub drugie. Wskaźnik nakładania się zaburzeń odżywiania i NSSI może sięgać nawet 65%, co jest wyższe wśród osób z diagnozą zaburzeń psychicznych.11

Różnice płciowe w występowaniu samookaleczenia

Badania wskazują na różnice w częstości występowania samookaleczenia w zależności od płci. Według danych, 30% nastolatek i 10% nastolatków przyznaje się do celowego samookaleczenia.12 Zarówno chłopcy jak i dziewczęta dokonują samookaleczenia, ale wskaźnik wydaje się wyższy u dziewcząt, które zazwyczaj również wcześniej zaczynają.13 Odsetek samookaleczenia u adolescentów wynosi od 6 do 14% dla chłopców i od 17 do 30% dla dziewcząt.14

Według Narodowego Instytutu Zdrowia Psychicznego (NIMH), kobiety częściej stosują cięcie jako formę samookaleczenia, podczas gdy mężczyźni częściej uderzają się lub oparzają.15 Te różnice płciowe sugerują, że sposób manifestacji samookaleczenia może być związany z socjalizacją płciową i różnymi wzorcami ekspresji emocjonalnej.

Symptomy i objawy samookaleczenia/cięcia się

Samookaleczenie często odbywa się w samotności. Zazwyczaj wykonywane jest w kontrolowany sposób lub zawsze w ten sam sposób, co często pozostawia charakterystyczny wzór na skórze.16 Osoby, które się samookaleczają, często ukrywają swoje zachowanie i mogą nosić długie rękawy lub długie spodnie nawet w gorącą pogodę, aby ukryć ślady samookaleczenia.17

Do najczęstszych symptomów samookaleczenia należą:1819

  • Blizny, często w charakterystycznych wzorach
  • Świeże nacięcia, zadrapania, siniaki, ślady ugryzień lub inne rany
  • Nadmierne pocieranie obszaru w celu wywołania oparzenia
  • Przechowywanie ostrych przedmiotów lub innych elementów używanych do samookaleczenia
  • Noszenie długich rękawów lub długich spodni, aby ukryć samookaleczenie, nawet w gorącą pogodę
  • Częste zgłaszanie przypadkowych obrażeń
  • Trudności w relacjach z innymi
  • Zachowania i emocje, które szybko się zmieniają i są impulsywne, intensywne i nieoczekiwane
  • Wypowiedzi o bezradności, beznadziei lub bezwartościowości

Osoby samookaleczające się potrafią bardzo zręcznie ukrywać blizny lub wyjaśniać je jako przypadkowe urazy. Należy zwracać uwagę na takie oznaki jak: preferencja noszenia zakrywającej odzieży przez cały czas (np. długie rękawy w gorącą pogodę), unikanie sytuacji, w których mogłaby być wymagana bardziej odkrywająca odzież (np. nieuzasadniona odmowa pójścia na imprezę), lub niezwykle częste skargi na przypadkowe urazy (np. właściciel kota, który często ma zadrapania na rękach).20

Symptomy emocjonalne towarzyszące samookaleczeniu

Poza fizycznymi objawami, samookaleczeniu często towarzyszą specyficzne symptomy emocjonalne, które mogą świadczyć o głębszym problemie. Do najczęstszych symptomów emocjonalnych należą:21

  • Intensywny dystres emocjonalny
  • Trudności w regulacji emocji
  • Nienawiść do samego siebie
  • Poczucie winy i wstydu
  • Emocjonalne odrętwienie
  • Poczucie beznadziei i rozpaczy
  • Niska samoocena

Osoby samookaleczające się często doświadczają intensywnych i trudnych do zniesienia emocji przed aktem samookaleczenia. Po dokonaniu samookaleczenia następuje krótkotrwałe uczucie ulgi, które szybko zastępowane jest przez poczucie winy i wstydu. Ten cykl może prowadzić do powtarzania zachowań samouszkadzających jako nieadaptacyjnego mechanizmu radzenia sobie z emocjami.22

Przebieg i progresja samookaleczenia

Zdenerwowanie może wyzwalać pragnienie samookaleczenia. Wiele osób samookalecza się tylko kilka razy, a następnie przestaje. Jednak dla innych samookaleczenie może stać się długoterminowym, powtarzającym się zachowaniem.23 Początkowe uczucie ulgi po samookaleczeniu jest tymczasowe i szybko zastępowane przez poczucie winy i wstydu oraz powrót bolesnych emocji.24

Chociaż zagrażające życiu obrażenia zwykle nie są zamierzone, możliwe jest, że może dojść do poważniejszych, a nawet śmiertelnych samouszkodzeń.25 Samookaleczenie może stać się nawykiem. Może stać się kompulsywnym zachowaniem, co oznacza, że im więcej dana osoba to robi, tym bardziej czuje potrzebę tego robienia. Mózg zaczyna łączyć urazy z fałszywym poczuciem ulgi od złych uczuć i pragnie tej ulgi przy następnym narastaniu napięcia. Gdy samookaleczenie staje się kompulsywnym zachowaniem, może wydawać się niemożliwe do zatrzymania. Może więc przypominać uzależnienie, gdzie pragnienie tego może wydawać się zbyt trudne do opanowania. Zachowanie, które zaczyna się jako próba uzyskania większej kontroli, może skończyć się kontrolowaniem danej osoby.26

Cykl samookaleczenia i jego progresja

Samookaleczenie często przechodzi przez charakterystyczny cykl, który zaczyna się od silnych, przytłaczających uczuć, następnie pojawia się chęć zranienia siebie, po czym następuje krótkotrwałe poczucie ulgi po samookaleczeniu, a na końcu pojawiają się uczucia wstydu lub winy, które mogą prowadzić z powrotem do większej ilości samookaleczenia.27

U osób, które wielokrotnie się samookaleczają, tymczasowy uspokajający efekt samookaleczenia może przestać działać. W konsekwencji, cierpienie i inne negatywne emocje stają się przytłaczające.28 Samookaleczenie może również eskalować, jeśli pierwotny problem – lęk, depresja, trauma itp. – pogarsza się, lub dlatego, że dana osoba stwierdza, że musi zwiększyć intensywność i częstotliwość [samookaleczenia], aby uzyskać ten sam efekt.29

W przypadku niektórych osób samookaleczenie może przybrać charakter uzależnienia. Badania sugerują, że samookaleczenie może wywoływać uczucia przyjemności u niektórych osób. Z tego powodu mogą one mieć stałą chęć zadawania sobie bólu, aby poczuć się szczęśliwymi i spokojnymi. Według niektórych badań, samookaleczenie jest podobne do uzależnienia od narkotyków.30

Przyczyny i czynniki ryzyka samookaleczenia

Samookaleczenie najczęściej pełni funkcję (tymczasowego) łagodzenia przytłaczających negatywnych emocji. Przed samookaleczeniem występują intensywne negatywne emocje, a wykonanie samookaleczenia skutkuje zmniejszeniem negatywnych emocji oraz uczuciem spokoju i ulgi.31 Samookaleczenie może służyć wielu innym funkcjom, takim jak chęć wpływania na innych lub wytworzenia fizycznego znaku cierpienia emocjonalnego, ale każda z tych funkcji jest istotna tylko dla mniejszości osób, które się samookaleczają.32

Osoby, które doświadczyły nadużyć, szczególnie w dzieciństwie, są bardziej narażone na samookaleczenie w późniejszym życiu.33 Samookaleczenie jest szczególnie powszechne u osób skłonnych do skierowanych na siebie negatywnych emocji i samokrytyki.34 Niektórzy ludzie mogą się samookaleczać, ponieważ czują, że zasługują na karę. Inni mogą to robić, aby odzyskać kontrolę nad swoim ciałem, gdy czują brak kontroli nad innymi aspektami swojego życia.35

Samookaleczenie a zaburzenia psychiczne

Samookaleczenie, choć nie jest samo w sobie zaburzeniem psychicznym, często współwystępuje z innymi zaburzeniami psychicznymi. Do najczęstszych zaburzeń psychicznych, które mogą zwiększać ryzyko samookaleczenia, należą:3637

  • Zaburzenia osobowości (szczególnie zaburzenie osobowości z pogranicza)
  • Zaburzenie afektywne dwubiegunowe
  • Depresja
  • Zaburzenia lękowe
  • Zaburzenie obsesyjno-kompulsywne
  • Zaburzenia psychotyczne, takie jak schizofrenia
  • Zespół stresu pourazowego (PTSD)
  • Zaburzenia odżywiania
  • Zaburzenia używania substancji

Według badań, około 50% osób z zaburzeniem afektywnym dwubiegunowym wykazuje objawy samookaleczenia. Badania pokazują również, że pacjenci z chorobą afektywną dwubiegunową są bardziej skłonni do samookaleczenia podczas stanu mieszanego zaburzenia, gdy manifestują się zarówno objawy maniakalne, jak i depresyjne.38

Z kolei w przypadku zaburzenia osobowości z pogranicza (borderline), badania wskazują, że 50% do 80% przypadków wykazuje samookaleczenie. Około 40% tych incydentów staje się poważnych.39

Relacja między samookaleczeniem a myślami samobójczymi

Samookaleczenie niesamobójcze i zachowania samobójcze – wyobrażanie sobie, planowanie lub próba samobójstwa – są powiązane, ale relacja między nimi jest złożona. Ponieważ mogą wyglądać podobnie, może być bardzo trudno odróżnić je od siebie. Istnieją jednak ważne różnice w intencji, a także w niebezpieczeństwie: samookaleczenie jest prawie zawsze używane, aby poczuć się lepiej, a nie po to, by zakończyć swoje życie. W rzeczywistości niektóre osoby, które się samookaleczają, jasno stwierdzają, że pomaga im to uniknąć samobójstwa.40

Samookaleczenie i samobójstwo różnią się na wiele sposobów, w tym:41

  • Intencja: Intencją samookaleczenia jest prawie zawsze poczucie się lepiej, podczas gdy dla samobójstwa jest to całkowite zakończenie odczuwania (a tym samym życia).
  • Używana metoda: Metody samookaleczenia zazwyczaj powodują uszkodzenia tylko powierzchni ciała. Zachowania związane z samobójstwem są znacznie bardziej śmiertelne. Co istotne, bardzo rzadko zdarza się, aby osoby, które praktykują samookaleczenie i które są również samobójcze, identyfikowały te same metody dla każdego celu.
  • Poziom uszkodzeń i śmiertelność: Samookaleczenie jest często przeprowadzane przy użyciu metod zaprojektowanych do uszkodzenia ciała, ale nie do zranienia ciała na tyle, aby wymagało leczenia lub aby zakończyć życie. Próby samobójcze są zazwyczaj bardziej śmiertelne niż standardowe metody NSSI.
  • Częstotliwość: Samookaleczenie jest często używane regularnie lub od czasu do czasu, aby zarządzać stresem i innymi emocjami. Zachowania związane z samobójstwem są znacznie rzadsze.

Z powodu tych wspólnych czynników ryzyka, ważne jest, aby wiedzieć, że młodzież, która się samookalecza, ma również zwiększone ryzyko samobójczych myśli. Badania pokazują, że około 65% młodzieży, która się samookalecza, będzie również w pewnym momencie mieć myśli samobójcze (choć wielu nie posunie się dalej niż do myślenia o samobójstwie).42

Osoby, które zaangażowały się w 20 lub więcej zachowań samookaleczających, są około 3,5 razy bardziej narażone na próbę samobójczą w porównaniu do osób, które mają mniej działań samookaleczających.43 Chociaż samookaleczenie nie jest przyczyną samobójstwa, ważną rzeczą do zrozumienia na temat relacji między samookaleczeniem a samobójstwem jest to, że sam akt zaangażowania się w samookaleczenie zmniejsza hamulce przed zachowaniem samobójczym, jeśli ktoś staje się samobójczy. Innymi słowy, „praktykowanie” wielokrotnego ranienia ciała ułatwia faktyczne zranienie ciała z zamiarem samobójczym.44

Skutki i komplikacje samookaleczenia

Samookaleczenie może prowadzić do poważnych komplikacji fizycznych i emocjonalnych. Do najczęstszych należą:4546

  • Pogorszenie uczuć wstydu, winy i niskiej samooceny
  • Infekcje, zarówno z ran, jak i z dzielenia się narzędziami
  • Trwałe blizny lub inne trwałe uszkodzenia ciała
  • Pogorszenie podstawowych problemów i stanów, jeśli nie są odpowiednio leczone
  • Poważne obrażenia, które mogą potencjalnie prowadzić do śmierci
  • Uszkodzone ścięgna, nerwy, naczynia krwionośne i mięśnie
  • Trwała słabość lub drętwienie w niektórych obszarach, takich jak dłoń
  • Utrata kończyny
  • Uszkodzenie mózgu
  • Uszkodzenie narządów
  • Złamane kości
  • Izolacja społeczna
  • Utrata relacji międzyludzkich
  • Sepsa (posocznica)
  • Samobójstwo lub zachowania samobójcze
  • Przypadkowa śmierć

Bez leczenia samookaleczenie może prowadzić do poważniejszych i cięższych obrażeń z czasem. Osoby, które wielokrotnie się samookaleczają, mogą stawać się coraz bardziej zdesperowane z powodu braku kontroli nad zachowaniem i jego uzależniającego charakteru, co może prowadzić do celowej próby samobójczej.47

Wpływ samookaleczenia na zdrowie psychiczne

Oprócz fizycznych komplikacji, samookaleczenie może mieć poważny wpływ na zdrowie psychiczne, w tym:4849

  • Ogólny dystres psychiczny, który przejawia się w różnych formach, w tym lęku, depresji, objawach antyspołecznych i psychotycznych, zaburzeniu obsesyjno-kompulsywnym (OCD) i niskiej samoocenie
  • Negatywny wpływ na zdrowie psychiczne poprzez nasilenie stanów takich jak depresja, lęk i zespół stresu pourazowego (PTSD)
  • Intensyfikacja uczuć wstydu, winy i izolacji społecznej
  • Zwiększone ryzyko używania substancji psychoaktywnych
  • Natrętne myśli o samookaleczeniu
  • Zwiększony konflikt w relacjach rodzinnych i wśród bliskich osób

Ulga, która pochodzi z samookaleczenia, jest tylko tymczasowa i tworzy znacznie więcej problemów, niż rozwiązuje. Uczucie ulgi po samookaleczeniu jest krótkotrwałe i szybko następują po nim inne uczucia, takie jak wstyd i poczucie winy. Samookaleczenie może stać się uzależniające i nie pomoże w rozwiązaniu problemów, które skłoniły daną osobę do zranienia się w pierwszej kolejności.5051

Podejście diagnostyczne do samookaleczenia

Nie ma specyficznego testu do zdiagnozowania samookaleczenia. Diagnoza opiera się na badaniu fizycznym i psychologicznym.52 Specjalista ds. zdrowia psychicznego może również ocenić obecność innych zaburzeń psychicznych, które mogą być powiązane z samookaleczeniem, takich jak depresja lub zaburzenia osobowości.53

Podczas diagnozowania samookaleczenia, lekarz lub terapeuta zazwyczaj planuje wstępną ocenę. Obejmuje to zwykle wywiad konwersacyjny, aby omówić, jak długo samookaleczenie występuje i jakie metody są stosowane.54 Diagnostyka samookaleczenia obejmuje ocenę:55

  • Emocji związanych z zachowaniami samookaleczającymi
  • Jak długo samookaleczenie miało miejsce
  • Jakie są ciężkość i rodzaje obrażeń, które miały miejsce
  • Czy występują myśli samobójcze
  • Czy istnieją choroby współistniejące, które mogą przyczyniać się do samookaleczenia

Ocena niesamobójczego samookaleczenia powinna obejmować ustalenie, jak często niesamobójcze samookaleczenie występuje i jak długo miało miejsce. Ważne jest również określenie funkcji niesamobójczego samookaleczenia dla pacjenta.56

Może być również zalecona pełna ocena potrzeb i ryzyka. Może być przeprowadzona ocena psychospołeczna, której celem jest zbadanie wszystkich czynników, które przyczyniają się do samookaleczenia, w tym czynników społecznych, psychologicznych i motywacyjnych.57

Podejścia terapeutyczne w leczeniu samookaleczenia

Leczenie opiera się na konkretnych problemach i wszelkich powiązanych zaburzeniach psychicznych, które mogą występować, takich jak depresja. Ponieważ samookaleczenie może stać się główną częścią życia pacjenta, najlepiej jest uzyskać leczenie od specjalisty ds. zdrowia psychicznego, który ma doświadczenie w leczeniu samookaleczenia.58

Kilka rodzajów indywidualnej psychoterapii może być pomocnych, takich jak:59

  • Terapia poznawczo-behawioralna (CBT), która pomaga zidentyfikować niezdrowe, negatywne przekonania i zachowania oraz zastąpić je bardziej efektywnymi.
  • Terapia dialektyczno-behawioralna, rodzaj CBT, który uczy umiejętności behawioralnych, aby pomóc w radzeniu sobie z dystresem, zarządzaniu lub regulowaniu emocji i poprawie relacji z innymi.
  • Terapie oparte na uważności, które pomagają żyć w teraźniejszości i radzić sobie z trudnymi emocjami i negatywnymi myślami.

Nie ma leków specjalnie do leczenia zachowań samookaleczających. Jednak jeśli zostanie zdiagnozowane zaburzenie psychiczne, takie jak depresja lub zaburzenie lękowe, lekarz może zalecić leki przeciwdepresyjne lub inne leki do leczenia podstawowego stanu, który jest powiązany z samookaleczeniem.6061

Jeśli samookaleczenie jest poważne lub powtarzające się, lekarz może zalecić przyjęcie do szpitala na opiekę psychiatryczną. Opieka w szpitalu, często krótkoterminowa, może zapewnić bezpieczne środowisko i bardziej intensywne leczenie, dopóki pacjent nie przejdzie przez kryzys.6263

Efektywność leczenia i perspektywy zdrowienia

Leczenie zachowań samookaleczających może wymagać czasu, ciężkiej pracy i własnego pragnienia wyzdrowienia.64 Skuteczne leczenie samookaleczenia to najczęściej kombinacja leków, terapii poznawczo-behawioralnej i terapii interpersonalnej, z dodatkowymi usługami leczniczymi w razie potrzeby.65

Psychoterapia może pomóc:66

  • Zidentyfikować i zarządzać podstawowymi problemami, które wyzwalają samookaleczenie
  • Nauczyć się umiejętności lepszego radzenia sobie z dystresem
  • Nauczyć się lepszych sposobów radzenia sobie z intensywnymi emocjami

Możliwe jest wyzdrowieniu z samookaleczenia; może to jednak wymagać czasu, aby nauczyć się bardziej adaptacyjnych, zdrowych mechanizmów radzenia sobie.67 Osoby, które przeszły terapię, mogą nauczyć się, jak:

  • Rozpoznawać sytuacje lub uczucia, które mogą wyzwalać pragnienie samookaleczenia
  • Opracowywać plany innych sposobów uspokojenia się lub odwrócenia uwagi albo uzyskania wsparcia, aby być gotowym na następny raz, gdy poczują pragnienie samookaleczenia
  • Znajdować coś, co sprawia przyjemność i co rozładowuje emocjonalny dystres w zdrowy sposób

Dla wielu osób, którym udało się zaprzestać samookaleczenia, kluczowe było zidentyfikowanie i zrozumienie przyczyn, które początkowo doprowadziły do tego zachowania, oraz nauczenie się innych, zdrowszych sposobów radzenia sobie z trudnymi emocjami i stresem.68

Najnowsze badania wskazują, że większość nastolatków, którzy się samookaleczają, jest w stanie porzucić to zachowanie, ucząc się zarządzać uczuciami w zdrowszy sposób, na przykład poprzez rozmowę z innymi.69 Skuteczne leczenie może poprawić ogólne samopoczucie i promować wyższą jakość życia.70

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  1. 11.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Self-injury/cutting – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/self-injury/symptoms-causes/syc-20350950
    Nonsuicidal self-injury, often simply called self-injury, is the act of harming your own body on purpose, such as by cutting or burning yourself. It’s usually not meant as a suicide attempt. This type of self-injury is a harmful way to cope with emotional pain, sadness, anger and stress. […] While self-injury may bring a brief sense of calm and a release of physical and emotional tension, it’s usually followed by guilt and shame and the return of painful emotions. Life-threatening injuries are usually not intended, but it’s possible that more-serious and even fatal self-harm could happen. […] Becoming upset can trigger urges to self-injure. Many people self-injure only a few times and then stop. But for others, self-injury can become a longer term, repeated behavior. […] Self-injury is not usually a suicide attempt, but it can increase the risk of suicide because of the emotional problems that trigger self-injury. And the pattern of damaging the body in times of distress can make suicide more likely.
  • #2 Nonsuicidal Self-Injury: What We Know, and What We Need to Know
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4244874/
    For decades, knowledge about nonsuicidal self-injury (NSSI) was limited to only a small handful of empirical studies. […] We now understand much about the classification, prevalence, correlates, forms, and functions of NSSI, and have dispelled many misconceptions. […] NSSI refers to the intentional destruction of ones own body tissue without suicidal intent and for purposes not socially sanctioned. […] Because NSSI is typically associated with emotional and psychiatric distress, and because NSSI increases risk for suicide, it is crucial to establish accurate conceptual and clinical models of this behaviour. […] NSSI is most common among adolescents and young adults. Lifetime rates in these populations are about 15% to 20%, and onset typically occurs around age 13 or 14. […] In contrast, about 6% of adults report a history of NSSI.
  • #3 Self-injury/cutting | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/self-injurycutting
    Self-injury mostly happens in private. Usually, it’s done in a controlled manner or the same way each time, which often leaves a pattern on the skin. […] Becoming upset can trigger urges to self-injure. Many people self-injure only a few times and then stop. But for others, self-injury can become a longer term, repeated behavior. […] Self-injury is not usually a suicide attempt, but it can increase the risk of suicide because of the emotional problems that trigger self-injury. And the pattern of damaging the body in times of distress can make suicide more likely. […] If the self-injury behavior is linked with a mental health condition, such as depression or borderline personality disorder, the treatment plan focuses on that condition, as well as the self-injury behavior. […] Treating self-injury behavior can take time, hard work and your own desire to recover.
  • #4 Help for Self-Harm | Text CONNECT to 741741 for support
    https://www.crisistextline.org/topics/self-harm/
    For some people, when depression and anxiety lead to a tornado of emotions, they turn to self-harm looking for a release. Self-harm and self-injury are any forms of hurting oneself to cope. Sometimes, when people self-harm, they do not do so as a suicide attempt. Rather, they inflict pain as a way to release painful emotions. […] Self-harm can manifest differently for everyone. And, the ways people may inflict harm upon themselves extend far beyond the usual news media references such as cutting. Simply, self-harm is anything and everything someone can do to purposely hurt their body. […] Self-injury of any form is serious. And, while the intention behind self-injury usually is not death, it can still be dangerousboth physically and emotionally. […] A lot of people who self-harm do so because they are dealing with painful emotions. If this applies to youwe believe in you and recognize your pain. Because painful emotions are at the root of it, quite often recovering involves addressing emotions. Breaking away from the cycle of harming yourself can feel like a huge climb. It involves breaking a habit that has once brought comfort from pain. But, it is not impossible. Here are some steps to set you up for success:
  • #5 Self-injury (Cutting, Self-Harm or Self-Mutilation) | Mental Health America
    https://mhanational.org/conditions/self-injury-cutting-self-harm-or-self-mutilation/
    Self-injury, also known as self-harm, self-mutilation, or self-abuse—occurs when someone repeatedly harms themselves on purpose in a way that is impulsive and not intended to be lethal. While self-harm is not intended to be lethal, people who harm themselves are at a higher risk of attempting suicide if they do not receive help. […] The most common methods are: Skin cutting (70-90%). Head banging or hitting (21%-44%). Burning (15%-35%). […] Other forms of self-injury include excessive scratching to the point of drawing blood, punching (either one’s self or objects), infecting oneself, inserting objects into body openings, drinking something harmful (like bleach or detergent), and breaking bones purposefully. Most individuals who engage in non-suicidal self-injury hurt themselves in more than one way.
  • #6 Self-injury (Cutting, Self-Harm or Self-Mutilation) | Mental Health America
    https://www.mhanational.org/conditions/self-injury-cutting-self-harm-or-self-mutilation
    Self-injury, also known as self-harm, self-mutilation, or self-abuse—occurs when someone repeatedly harms themselves on purpose in a way that is impulsive and not intended to be lethal. While self-harm is not intended to be lethal, people who harm themselves are at a higher risk of attempting suicide if they do not receive help. […] The most common methods are: Skin cutting (70-90%). Head banging or hitting (21%-44%). Burning (15%-35%). […] Other forms of self-injury include excessive scratching to the point of drawing blood, punching (either one’s self or objects), infecting oneself, inserting objects into body openings, drinking something harmful (like bleach or detergent), and breaking bones purposefully. Most individuals who engage in non-suicidal self-injury hurt themselves in more than one way.
  • #7 Nonsuicidal Self-Injury: What We Know, and What We Need to Know
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4244874/
    For decades, knowledge about nonsuicidal self-injury (NSSI) was limited to only a small handful of empirical studies. […] We now understand much about the classification, prevalence, correlates, forms, and functions of NSSI, and have dispelled many misconceptions. […] NSSI refers to the intentional destruction of ones own body tissue without suicidal intent and for purposes not socially sanctioned. […] Because NSSI is typically associated with emotional and psychiatric distress, and because NSSI increases risk for suicide, it is crucial to establish accurate conceptual and clinical models of this behaviour. […] NSSI is most common among adolescents and young adults. Lifetime rates in these populations are about 15% to 20%, and onset typically occurs around age 13 or 14. […] In contrast, about 6% of adults report a history of NSSI.
  • #8 Nonsuicidal Self-Injury: What We Know, and What We Need to Know
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4244874/
    In both adolescents and adults, rates of NSSI are highest among psychiatric populations, particularly people who report characteristics associated with emotional distress, such as negative emotionality, depression, anxiety, and emotion dysregulation. […] NSSI is especially common in people prone to self-directed negative emotions and self-criticism. […] NSSI most commonly functions to (temporarily) alleviate overwhelming negative emotion. […] Intense negative emotions precede NSSI, and the performance of NSSI results in reduced negative emotions as well as feelings of calm and relief. […] NSSI can serve multiple other functions, such as a desire to influence others or to produce a physical sign of emotional distress, but each of these functions is relevant only to a minority of people who self-injure.
  • #9 Self-Harm Awareness Month – USCRI
    https://refugees.org/self-harm-awareness-month/
    March is self-harm awareness month. Although less often talked about publicly, it is a common clinical problem that poses a significant public health concern. Research indicates that self-harm occurs in approximately 5% of adults, 17% of adolescents, and between 17% and 35% of college students in the U.S. (MHA, n.d.). Although the onset of self-harm can occur as early as 7-years-old, the average age of onset is usually 12 to 15 years of age. Self-harm exists in almost all countries and cultures and across all age groups and demographics. […] Symptoms of NSSI include but are not limited to: Fresh cuts, scratches, bruises, bite marks, or other wounds; Scars, often in patterns; Keeping sharp objects or other items used for self-harm on hand or nearby; Wearing long sleeves or long pants/skirts/dresses to hide injuries, even in hot weather; Frequent reports of accidental injury; Difficulties in relationships with others; Behaviors and emotions that change quickly and are impulsive, intense, and unexpected; Expressions of helplessness, hopelessness, or worthlessness; Blood stains on clothing, towels, or bedding; blood-soaked tissues; Needing to be alone for long periods of time in a locked bathroom or bedroom; Unexplained and excessive absences from school, work, or other important obligations.
  • #10 Self-Harm Awareness Month – USCRI
    https://refugees.org/self-harm-awareness-month/
    Although NSSI may provide temporary relief in the moment, it creates far more problems than it solves. Any short-term relief from self-harm is quickly followed by feelings of shame and/or guilt and the problems and/or feelings that triggered the self-harm remain unsolved. Engaging in NSSI prevents individuals from learning and using more effective strategies to address their issues. Because shame is often both a trigger and an outcome of NSSI, secrecy, social isolation, and loneliness are additional negative consequences. Along with the possibility for scarring and infections, each act of self-harm has the potential to be lethal due to accidents. Moreover, NSSI is a significant risk factor for the development of severe mental illness and is one of the strongest predictors of future self-harm and suicide (Gholamrezaei et al., 2023; Hedrick & Borschmann, 2023). […] Among young migrants and refugees, rates of NSSI are higher, with between 18% to 60% having self-harmed at some point since their migration (Basu et al., 2022; Donath et al., 2019).
  • #11 Self-Harm & Eating Disorders
    https://www.eatingdisorderhope.com/treatment-for-eating-disorders/co-occurring-dual-diagnosis/self-injury
    As mentioned above, self-injurious behaviors often occur alongside eating disorder behaviors. Both are often used as maladaptive coping skills when an individual does not feel they have the skills to cope with distressing thoughts, feelings, and situations. […] Many do believe that eating disorders themselves are self-injurious behaviors. The motivations behind eating disorders can be similar to self-harming behaviors, as discussed above. […] Approximately 30% of individuals who participate in binging and purging behaviors also choose to cut themselves or practice another form of self-harm behavior. Symptoms of both self-harm and eating disorders occur together in about 25%-50% of individuals who engage in one or the other. The rate of overlap for eating disorders and NSSI can be upward of 65%. This is higher among individuals with a mental health diagnosis.
  • #12 Understanding Self-Injury in Teens | Newport Academy
    https://www.newportacademy.com/resources/mental-health/self-injury/
    Also known as self-injury, self-harm is a symptom of extreme emotional distress. Inflicting pain through cutting, burning, scratching, or other methods, may bring a temporary feeling of calm and a release of tension. However, the painful emotions quickly return. Some teens self-injure only a few times and then stop while others continue repeatedly, over a long period of time. Therefore, self-harming can turn into a compulsive behavior. […] Self-harm in teens is a way for them to release feelings of pain, tension, and anxiety. These painful emotions may include anger, shame, grief, guilt, and self-loathing. […] Unfortunately, self-harm behavior is becoming increasingly common in teens. A recent analysis of data from the Centers for Disease Control reveals that up to 30 percent of teenage girls and 10 percent of boys say they have intentionally injured themselves.
  • #13 Self-Harm | Psychology Today
    https://www.psychologytoday.com/us/basics/self-harm
    Self-harm, or self-mutilation, is the act of deliberately inflicting pain and damage to one’s own body. […] Individuals who self-injure may feel that doing so helps release pent-up feelings of anxiety, anger, or sadness. But evidence finds that over time, those raw emotions along with additional feelings of guilt and shame will continue to be present, and may even worsen. […] Self-harm occurs most often in teenagers and young adults; recent data found rates ranging from 6 to 14 percent for adolescent boys and 17 to 30 percent for girls. […] Although both boys and girls self-harm, the rate appears higher in girls; they also tend to start at an earlier age. […] Not necessarily. Self-injury can look like attempted suicide, and some who self-harm do ultimately go on to attempt suicide. But many people who intentionally hurt themselves are not suicidal. Rather, they are simply taking extreme measures to distract themselves from or attempt to soothe mental anguish.
  • #14 Self-Harm | Psychology Today
    https://www.psychologytoday.com/us/basics/self-harm
    Self-harm, or self-mutilation, is the act of deliberately inflicting pain and damage to one’s own body. […] Individuals who self-injure may feel that doing so helps release pent-up feelings of anxiety, anger, or sadness. But evidence finds that over time, those raw emotions along with additional feelings of guilt and shame will continue to be present, and may even worsen. […] Self-harm occurs most often in teenagers and young adults; recent data found rates ranging from 6 to 14 percent for adolescent boys and 17 to 30 percent for girls. […] Although both boys and girls self-harm, the rate appears higher in girls; they also tend to start at an earlier age. […] Not necessarily. Self-injury can look like attempted suicide, and some who self-harm do ultimately go on to attempt suicide. But many people who intentionally hurt themselves are not suicidal. Rather, they are simply taking extreme measures to distract themselves from or attempt to soothe mental anguish.
  • #15 Acute Hospital for Self-Harm in Chicago| Montrose Behavioral
    https://www.montrosebehavioral.com/mental-health/self-harm/
    If you are displaying some of these signs and symptoms, it may be worth pursuing professional self-harm treatment before you inflict more damage. […] Self-harm is often a predictor of later suicide attempts. […] According to the National Institute of Mental Health (NIMH), women are more likely to use cutting to self-harm, while men more frequently use hitting or burning. […] Self-harm causes feelings of shame and guilt, and when those emotions frequently pop up, a person may return to the self-harming behaviors they use as coping mechanisms. […] By receiving comprehensive self-harm treatment, you can put an end to some of these effects that may already be in motion and stop potential future damage before it begins. […] Along with persistent feelings of guilt and shame, self-harm can leave you feeling alone.
  • #16 Self-injury/cutting | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/self-injurycutting
    Self-injury mostly happens in private. Usually, it’s done in a controlled manner or the same way each time, which often leaves a pattern on the skin. […] Becoming upset can trigger urges to self-injure. Many people self-injure only a few times and then stop. But for others, self-injury can become a longer term, repeated behavior. […] Self-injury is not usually a suicide attempt, but it can increase the risk of suicide because of the emotional problems that trigger self-injury. And the pattern of damaging the body in times of distress can make suicide more likely. […] If the self-injury behavior is linked with a mental health condition, such as depression or borderline personality disorder, the treatment plan focuses on that condition, as well as the self-injury behavior. […] Treating self-injury behavior can take time, hard work and your own desire to recover.
  • #17 Self-injury/cutting | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20155318/
    Deliberately hurting your own body, such as by cutting or burning, is a harmful way to cope with emotional pain, intense anger and frustration. […] Nonsuicidal self-injury, often simply called self-injury, is the act of harming your own body on purpose, such as by cutting or burning yourself. Its usually not meant as a suicide attempt. This type of self-injury is a harmful way to cope with emotional pain, sadness, anger and stress. […] While self-injury may bring a brief sense of calm and a release of physical and emotional tension, its usually followed by guilt and shame and the return of painful emotions. Life-threatening injuries are usually not intended, but its possible that more-serious and even fatal self-harm could happen. […] Symptoms of self-injury may include: Scars, often in patterns. Fresh cuts, scratches, bruises, bite marks or other wounds. Excessive rubbing of an area to create a burn. Keeping sharp objects or other items used for self-injury on hand. Wearing long sleeves or long pants to hide self-injury, even in hot weather. Frequent reports of accidental injury. Difficulties in relationships with others. Behaviors and emotions that change quickly and are impulsive, intense and unexpected. Talk of helplessness, hopelessness or worthlessness.
  • #18 Self-injury/cutting | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/self-injurycutting
    Nonsuicidal self-injury, often simply called self-injury, is the act of harming your own body on purpose, such as by cutting or burning yourself. It’s usually not meant as a suicide attempt. This type of self-injury is a harmful way to cope with emotional pain, sadness, anger and stress. […] While self-injury may bring a brief sense of calm and a release of physical and emotional tension, it’s usually followed by guilt and shame and the return of painful emotions. Life-threatening injuries are usually not intended, but it’s possible that more-serious and even fatal self-harm could happen. […] Symptoms of self-injury may include: Scars, often in patterns. Fresh cuts, scratches, bruises, bite marks or other wounds. Excessive rubbing of an area to create a burn. Keeping sharp objects or other items used for self-injury on hand. Wearing long sleeves or long pants to hide self-injury, even in hot weather. Frequent reports of accidental injury. Difficulties in relationships with others. Behaviors and emotions that change quickly and are impulsive, intense and unexpected. Talk of helplessness, hopelessness or worthlessness.
  • #19 Self-injury/cutting | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/self-injury-cutting?content_id=CON-20155318
    Deliberately hurting your own body, such as by cutting or burning, is a harmful way to cope with emotional pain, intense anger and frustration. […] Nonsuicidal self-injury, often simply called self-injury, is the act of harming your own body on purpose, such as by cutting or burning yourself. It’s usually not meant as a suicide attempt. This type of self-injury is a harmful way to cope with emotional pain, sadness, anger and stress. […] While self-injury may bring a brief sense of calm and a release of physical and emotional tension, it’s usually followed by guilt and shame and the return of painful emotions. Life-threatening injuries are usually not intended, but it’s possible that more-serious and even fatal self-harm could happen. […] Symptoms of self-injury may include: Scars, often in patterns. Fresh cuts, scratches, bruises, bite marks or other wounds. Excessive rubbing of an area to create a burn. Keeping sharp objects or other items used for self-injury on hand. Wearing long sleeves or long pants to hide self-injury, even in hot weather. Frequent reports of accidental injury. Difficulties in relationships with others. Behaviors and emotions that change quickly and are impulsive, intense and unexpected. Talk of helplessness, hopelessness or worthlessness.
  • #20 Self-Harm: Symptoms, Causes, Diagnosis, and Treatment
    https://www.verywellmind.com/self-injury-and-cutting-1065420
    People who self-injure become very adept at hiding scars or explaining them away. Look for signs such as a preference for wearing concealing clothing at all times (e.g., long sleeves in hot weather), an avoidance of situations where more revealing clothing might be expected (e.g., unexplained refusal to go to a party), or unusually frequent complaints of accidental injury (e.g., a cat owner who frequently has scratches on her arms). […] People sometimes only engage in one form of self-injury, but it is not uncommon for multiple methods to be used. The arms are one of the areas that people self-harm most frequently, but other areas of the body including the legs and torso are also common targets. […] Self-injury indicates a lack of coping skills for dealing with severe emotional distress. People who self-harm may struggle to understand and manage their emotions. They also may not have the necessary skills to cope with stress and trauma in healthy ways.
  • #21 Self-Harm Treatment Center in Battle Creek, MI | Bronson
    https://www.bronsonbehavioralhospital.com/mental-health/self-harm/
    Self-harm refers to the deliberate act of causing physical harm or injury to yourself, typically as a way to cope with emotional distress or as a means of self-punishment. […] However, self-harm is not a healthy or effective long-term coping strategy and can have serious physical and psychological consequences. […] Common signs that someone might be engaging in self-harming behaviors include: Unexplained injuries: The person may have unexplained cuts, burns, and bruises, often in repetitive patterns or on the same body areas. […] Emotional symptoms of self-harm can also be evident. Common symptoms of self-harm that someone might experience include: Intense emotional distress, Difficulty regulating emotions, Self-loathing, Guilt and shame, Emotional numbness, Hopelessness and despair, Low self-esteem.
  • #22 Self-injury/cutting | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/self-injury-cutting?content_id=CON-20155318
    Self-injury mostly happens in private. Usually, it’s done in a controlled manner or the same way each time, which often leaves a pattern on the skin. […] Becoming upset can trigger urges to self-injure. Many people self-injure only a few times and then stop. But for others, self-injury can become a longer term, repeated behavior. […] Self-injury is not usually a suicide attempt, but it can increase the risk of suicide because of the emotional problems that trigger self-injury. And the pattern of damaging the body in times of distress can make suicide more likely. […] Self-injury can cause complications, such as: Worsening feelings of shame, guilt and low self-esteem. Infection, either from wounds or from sharing tools. Permanent scars or other permanent harm to the body. Worsening of underlying issues and conditions, if not properly treated. Severe injury that could possibly lead to death.
  • #23 Self-injury/cutting – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/self-injury/symptoms-causes/syc-20350950
    Nonsuicidal self-injury, often simply called self-injury, is the act of harming your own body on purpose, such as by cutting or burning yourself. It’s usually not meant as a suicide attempt. This type of self-injury is a harmful way to cope with emotional pain, sadness, anger and stress. […] While self-injury may bring a brief sense of calm and a release of physical and emotional tension, it’s usually followed by guilt and shame and the return of painful emotions. Life-threatening injuries are usually not intended, but it’s possible that more-serious and even fatal self-harm could happen. […] Becoming upset can trigger urges to self-injure. Many people self-injure only a few times and then stop. But for others, self-injury can become a longer term, repeated behavior. […] Self-injury is not usually a suicide attempt, but it can increase the risk of suicide because of the emotional problems that trigger self-injury. And the pattern of damaging the body in times of distress can make suicide more likely.
  • #24 Self-injury/cutting | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/self-injurycutting
    Nonsuicidal self-injury, often simply called self-injury, is the act of harming your own body on purpose, such as by cutting or burning yourself. It’s usually not meant as a suicide attempt. This type of self-injury is a harmful way to cope with emotional pain, sadness, anger and stress. […] While self-injury may bring a brief sense of calm and a release of physical and emotional tension, it’s usually followed by guilt and shame and the return of painful emotions. Life-threatening injuries are usually not intended, but it’s possible that more-serious and even fatal self-harm could happen. […] Symptoms of self-injury may include: Scars, often in patterns. Fresh cuts, scratches, bruises, bite marks or other wounds. Excessive rubbing of an area to create a burn. Keeping sharp objects or other items used for self-injury on hand. Wearing long sleeves or long pants to hide self-injury, even in hot weather. Frequent reports of accidental injury. Difficulties in relationships with others. Behaviors and emotions that change quickly and are impulsive, intense and unexpected. Talk of helplessness, hopelessness or worthlessness.
  • #25 Self-injury/cutting | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/self-injurycutting
    Nonsuicidal self-injury, often simply called self-injury, is the act of harming your own body on purpose, such as by cutting or burning yourself. It’s usually not meant as a suicide attempt. This type of self-injury is a harmful way to cope with emotional pain, sadness, anger and stress. […] While self-injury may bring a brief sense of calm and a release of physical and emotional tension, it’s usually followed by guilt and shame and the return of painful emotions. Life-threatening injuries are usually not intended, but it’s possible that more-serious and even fatal self-harm could happen. […] Symptoms of self-injury may include: Scars, often in patterns. Fresh cuts, scratches, bruises, bite marks or other wounds. Excessive rubbing of an area to create a burn. Keeping sharp objects or other items used for self-injury on hand. Wearing long sleeves or long pants to hide self-injury, even in hot weather. Frequent reports of accidental injury. Difficulties in relationships with others. Behaviors and emotions that change quickly and are impulsive, intense and unexpected. Talk of helplessness, hopelessness or worthlessness.
  • #26 Cutting & Self-Injury (for Teens) | Nemours KidsHealth
    https://kidshealth.org/en/teens/cutting.html
    Although it may provide some temporary relief from a terrible feeling, people who self-harm tend to agree that it isn’t a good way to get that relief. For one thing, the relief doesn’t last. The troubles that triggered it remain they’re just masked over. […] Self-injury can be habit forming. It can become a compulsive behavior meaning that the more a person does it, the more they feel the need to do it. The brain starts to connect the injury to the false sense of relief from bad feelings, and it craves this relief the next time tension builds. When self-harm becomes a compulsive behavior, it can seem impossible to stop. So it can seem almost like an addiction, where the urge to do it can seem too hard to resist. A behavior that starts as an attempt to feel more in control can end up controlling you. […] It can take time to overcome cutting or other kinds of self-injury. But therapists and counselors are trained to help people get through it and find inner strengths that help them heal. Then they can use those strengths to cope with life’s problems in a healthy way.
  • #27 Self-Harm / Wrist-Cutting? Free 3-Min Quiz Identifies Causes | Ubie
    https://ubiehealth.com/symptoms/deliberate-self-harm-behavior
    Self-harm / wrist-cutting can be related to: […] Acts of self-harm describes deliberately harming oneself and can include cutting or burning or pulling out hair. […] Seek professional care if you experience any of the following symptoms: Self-harm / Wrist-cutting. […] Have you ever intentionally hurt yourself, such as by cutting yourself or pulling your hair? […] How has your condition involving self-inflicted wounds changed? […] For how long have you been experiencing self-harm behaviors? […] Self-harm often follows a cycle that starts with strong, overwhelming feelings, followed by an urge to hurt oneself, a brief sense of relief after self-harming, and then feelings of shame or guilt that can lead back to more self-harm. […] Non-suicidal self-harm is when someone hurts their body on purpose without wanting to end their life. People do it to help manage strong feelings like sadness, anger, or stress. […] Wrist Cut Syndrome refers to a pattern of self-harm where individuals intentionally cut their wrists. This behavior can be associated with both suicidal and non-suicidal self-injury. Understanding its characteristics and underlying motivations is crucial for effective intervention and support.
  • #28 Understanding Self-Injury in Teens | Newport Academy
    https://www.newportacademy.com/resources/mental-health/self-injury/
    Self-harm or self-injury is not in itself a mental illness. Rather, it is an unhealthy coping mechanism for dealing with distress and anxiety, often as the result of an underlying mental health condition. […] While it is not considered a method for suicide, self-harm in teens may be associated with an increased risk of suicide. […] In adolescents who repeatedly self-harm, the temporary calming effect of self-injury can stop working. Therefore, the distress and other negative emotions become overwhelming. […] Not all forms of self-harm look the same. One of the most common of the different types of self-harm is cutting, using a knife or other sharp object. […] Self-injury can cause dangerous and even fatal health consequences. Furthermore, it can have a continued negative impact on mental health.
  • #29 Cutting & Self-Harm: Warning Signs and Treatment
    https://www.webmd.com/mental-health/features/cutting-self-harm-signs-treatment
    Cutting is the most common form of self-injury more than 80% of people who self-harm choose this method but its not the only one. […] Self-injury is not the problem, it is a symptom of something else, says Michelle M. Seliner, owner and clinical director of S.A.F.E. (Self Abuse Finally Ends) Alternatives in St. Louis, MO. This could be anxiety, depression, trauma, grief/loss, disordered eating, and poor impulse control. […] Self-harm can escalate if the original issue anxiety, depression, trauma, etc. gets worse, or because the individual finds they need to increase the intensity and frequency [of self-harm] to get the same effect, Seliner says. […] Self-harm is a sign of emotional distress, not a stage kids go through or drop on their own as they get older. […] Because this is a symptom of something else depression, anxiety, trauma, disordered eating, etc. coupled with the increased rate of suicide attempts, this behavior is just too risky, with significant emotional physical and social consequences, to ignore.
  • #30 Self-injury/cutting – Warning Signs, Symptoms and Treatment
    https://www.apollohospitals.com/corporate/diseases-and-conditions/self-injury-cutting-warning-signs-symptoms-and-treatment/
    There is no known medicinal cure for treating self-injurious behavior. However, if your condition gets triggered due to depression or anxiety, your doctor may prescribe certain antidepressants. […] Not necessarily. Often people who do self-harm don’t have suicidal thoughts. However, frequent episodes of self-injury may lead to deaths due to accidents, wounds and infections. […] Some studies show that self-harm may evoke feelings of pleasure in some people. And that’s why they may have a constant urge to injure themselves so that they can feel happy and calm. Self-injury is similar to drug addiction, according to some studies.
  • #31 Nonsuicidal Self-Injury: What We Know, and What We Need to Know
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4244874/
    In both adolescents and adults, rates of NSSI are highest among psychiatric populations, particularly people who report characteristics associated with emotional distress, such as negative emotionality, depression, anxiety, and emotion dysregulation. […] NSSI is especially common in people prone to self-directed negative emotions and self-criticism. […] NSSI most commonly functions to (temporarily) alleviate overwhelming negative emotion. […] Intense negative emotions precede NSSI, and the performance of NSSI results in reduced negative emotions as well as feelings of calm and relief. […] NSSI can serve multiple other functions, such as a desire to influence others or to produce a physical sign of emotional distress, but each of these functions is relevant only to a minority of people who self-injure.
  • #32 Nonsuicidal Self-Injury: What We Know, and What We Need to Know
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4244874/
    In both adolescents and adults, rates of NSSI are highest among psychiatric populations, particularly people who report characteristics associated with emotional distress, such as negative emotionality, depression, anxiety, and emotion dysregulation. […] NSSI is especially common in people prone to self-directed negative emotions and self-criticism. […] NSSI most commonly functions to (temporarily) alleviate overwhelming negative emotion. […] Intense negative emotions precede NSSI, and the performance of NSSI results in reduced negative emotions as well as feelings of calm and relief. […] NSSI can serve multiple other functions, such as a desire to influence others or to produce a physical sign of emotional distress, but each of these functions is relevant only to a minority of people who self-injure.
  • #33 Self-Harm Effects, Symptoms & Causes | Rebound Behavioral Health
    https://www.reboundbehavioralhealth.com/disorders/self-injury/symptoms-signs-effects/
    People who experienced abuse, especially as a child, are at a greater risk for self-injury later in life. […] While most people assume that self-injury only includes cutting, there are a wide variety of ways in which people engage in self-harm. […] Common symptoms of self-injury include: […] While self-injury is considered a non-suicidal act, the consequences of self-injury can range from minor irritations to extremely serious injury and death. […] Long-term complications of self-injury include: […] Many people who self-injure suffer from co-occurring mental illnesses.
  • #34 Nonsuicidal Self-Injury: What We Know, and What We Need to Know
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4244874/
    In both adolescents and adults, rates of NSSI are highest among psychiatric populations, particularly people who report characteristics associated with emotional distress, such as negative emotionality, depression, anxiety, and emotion dysregulation. […] NSSI is especially common in people prone to self-directed negative emotions and self-criticism. […] NSSI most commonly functions to (temporarily) alleviate overwhelming negative emotion. […] Intense negative emotions precede NSSI, and the performance of NSSI results in reduced negative emotions as well as feelings of calm and relief. […] NSSI can serve multiple other functions, such as a desire to influence others or to produce a physical sign of emotional distress, but each of these functions is relevant only to a minority of people who self-injure.
  • #35 Self-Harm Causes, Treatment, and Who’s at Risk
    https://www.verywellhealth.com/self-harm-5201867
    Self-harm is associated with risk factors. In adolescents, the most at-risk age group, it’s more likely in: Females, People who smoke or drink alcohol, People who belong to a single-parent family. […] Self-harm behaviors often are seen in people with a co-occurring mental health condition, especially borderline personality disorder (BPD) or depression. […] Post-traumatic stress disorder (PTSD) is linked to higher rates of self-harm, often in people with a history of physical or sexual abuse or other adverse childhood experiences. […] The reasons why people choose self-harm behaviors can include: A sense of control, especially in people who feel little control in other spheres of life, Stress at work, in school, or in your relationships, An expression of self-hatred and a sense that you deserve to feel pain, Emotional release, either as an expression of feelings or in seeking relief from them.
  • #36 Self-injury (Cutting, Self-Harm or Self-Mutilation) | Mental Health America
    https://mhanational.org/conditions/self-injury-cutting-self-harm-or-self-mutilation/
    The relief that self-injury brings is temporary, and destructive cycle often develops without proper treatment. Self-injury can also be a way for people to have control over their bodies when they have little or no control over other parts of their lives. […] The diagnosis for someone who self-injures can only be determined by a medical or mental health professional. Self-injury behaviors can be a symptom other mental illnesses, such as: personality disorders, bipolar disorder, depression, anxiety disorders, obsessive-compulsive disorder, and psychotic disorders, such as schizophrenia. […] The relationship between suicide and self-injury is complicated. While people with non-suicidal self injury do not intend to complete suicide, they may cause more harm than intended, which could result in medical complications or death. In severe or long-term cases of self-injury, a person may become desperate about their lack of control over the behavior and its addictive nature, which may lead them to purposefully attempt suicide.
  • #37
    https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/when-children-and-teens-self-harm.aspx
    In some cases, kids or teens may only engage in self-harm one time, but those who continue engaging in NSSI often hurt themselves in more than one way. […] There is no single clear cause. However, young people who self-harm often feel overwhelming emotional pain. […] Self-harm can also be a way for kids to take control of their bodies when they feel a lack of control over other things or when other aspects of their lives seem unmanageable. […] Most self-harm comes from a momentary need to escape, not a wish to die. However, newer research suggests that adolescents who have trouble quitting NSSI face much higher rates of experiencing suicidal thoughts and dying by suicide than their peers who do not engage in self-harm. […] Self-harm behaviors are most common among teenagers. […] Kids and teens who experience depression, anxiety, attention deficit hyperactivity disorder (ADHD), post-traumatic stress disorder (PTSD), eating disorders, substance use disorders, personality disorders and other mental health conditions are at higher risk of engaging in self-harm. […] Self-harm doesn’t mean your child or teen wants to die and it does NOT make you a bad parent.
  • #38 Top Psychiatric Disorders Most at Risk for Self-Injury 
    https://mypsychiatrist.com/blog/psychiatric-disorders-at-risk-for-self-injury/
    The downward trajectory of the high leads to another attempt at freedom from the physical and mental anguish, creating a vicious cycle of continuous self-injury. Self-harm can become lethal. It also worsens a persons mental condition by feeding into their insecurities, worries, pain, and fears. […] According to research, about 50% of people with bipolar disorder exhibit self-harm symptoms. […] Studies also show that bipolar patients are more likely to self-injure during the mixed state of the disorder, where both the manic and depressive symptoms manifest. […] The rate of suicidal tendencies is much higher during the mixed state than during the mania and depressive phase. […] Unfortunately, what begins as non-suicidal self-injury often morphs into serious injuries. […] Research shows that 50% to 80% of borderline personality disorder cases exhibit self-injury. About 40% of these incidences become severe.
  • #39 Top Psychiatric Disorders Most at Risk for Self-Injury 
    https://mypsychiatrist.com/blog/psychiatric-disorders-at-risk-for-self-injury/
    The downward trajectory of the high leads to another attempt at freedom from the physical and mental anguish, creating a vicious cycle of continuous self-injury. Self-harm can become lethal. It also worsens a persons mental condition by feeding into their insecurities, worries, pain, and fears. […] According to research, about 50% of people with bipolar disorder exhibit self-harm symptoms. […] Studies also show that bipolar patients are more likely to self-injure during the mixed state of the disorder, where both the manic and depressive symptoms manifest. […] The rate of suicidal tendencies is much higher during the mixed state than during the mania and depressive phase. […] Unfortunately, what begins as non-suicidal self-injury often morphs into serious injuries. […] Research shows that 50% to 80% of borderline personality disorder cases exhibit self-injury. About 40% of these incidences become severe.
  • #40 How Are Self-Injury and Suicide Related? – Child Mind Institute
    https://childmind.org/article/how-are-self-injury-and-suicide-related/
    The intent is different, though one can lead to the other. […] It’s not unusual for young people who are struggling with painful feelings to engage in self-injury — things such as cutting, burning or scratching themselves until they bleed. Knowing that a child is intent on harming themselves is very upsetting to parents, and many worry that self-injury is a sign that their child is suicidal. […] Self-injury and suicidal behaviors — imagining, planning or attempting suicide — are related, but the relationship between the two is confusing. Because they can look similar, it can be very difficult to tell the difference between them. But there are important differences in the intention as well as the danger: Self-injury is virtually always used to feel better rather than to end one’s life. Indeed, some people who self-injure are clear that it helps them to avoid suicide. In fact, the technical term for self-injury is non-suicidal self-injury, or NSSI.
  • #41 How Are Self-Injury and Suicide Related? – Child Mind Institute
    https://childmind.org/article/how-are-self-injury-and-suicide-related/
    Self-injury and suicide differ in multiple ways, including: The intent: The intent of self-injury is almost always to feel better, whereas for suicide it is to end feeling (and, hence, life) altogether. […] The method used: Methods for self-injury typically cause damage to the surface of the body only. Suicide-related behaviors are much more lethal. Notably, it is very uncommon for individuals who practice self-injury and who are also suicidal to identify the same methods for each purpose. […] Level of damage and lethality: Self-injury is often carried out using methods designed to damage the body but not to injure the body badly enough to require treatment or to end life. Suicide attempts are typically more lethal than standard NSSI methods. […] Frequency: Self-injury is often used regularly or off-and-on to manage stress and other emotions. Suicide-related behaviors are much more rare.
  • #42 How Are Self-Injury and Suicide Related? – Child Mind Institute
    https://childmind.org/article/how-are-self-injury-and-suicide-related/
    Because of these common risk factors, it is important for you to know that youth who self-injure are also at increased risk for suicidality. Our work shows that about 65 percent of youth who self-injure will also be suicidal at some point (though many will not go beyond having suicidal thoughts). […] Although self-injury does not cause suicide, the other important thing to know about the relationship between self-injury and suicide is that the very act of engaging in self-injury reduces inhibition to suicidal behavior if someone becomes suicidal. In other words, having “practiced” injuring the body repeatedly makes it easier to actually injure the body with suicidal intent. […] What is especially important for you to know is that one of the most powerful protective factors against moving from self-injury to suicide is a feeling of connectedness to parents.
  • #43 Important Facts and Statistics About Self-Harm: Prevalence, Risk Factors, & More
    https://www.therecoveryvillage.com/mental-health/self-harm/self-harm-statistics/
    Self-harm involves a person damaging their body by cutting, burning, scratching or practicing any other behavior that results in pain or injury. […] Though self-harm is not a mental health disorder, it is a common symptom of many psychological conditions. […] The average age of the first incident of self-harm is 13. […] Not only is self-harm prevalent, but rates are increasing. According to emergency room trends, there’s been a 50% increase in reported self-injury among young females since 2009. […] The more of these factors a person has, the higher their risk of self-harm. […] Nonsuicidal self-injury involves symptoms like engaging in self-harm on five or more days over the last year. […] Self-harm often co-occurs with mental health disorders. […] People who engaged in 20 or more self-harm behaviors are about 3.5 times more likely to attempt suicide compared to those who have fewer self-injury actions. […] The APA reports in the DSM-5 that self-injury tends to peak by the time a person is 29, so the prognosis improves as age increases.
  • #44 How Are Self-Injury and Suicide Related? – Child Mind Institute
    https://childmind.org/article/how-are-self-injury-and-suicide-related/
    Because of these common risk factors, it is important for you to know that youth who self-injure are also at increased risk for suicidality. Our work shows that about 65 percent of youth who self-injure will also be suicidal at some point (though many will not go beyond having suicidal thoughts). […] Although self-injury does not cause suicide, the other important thing to know about the relationship between self-injury and suicide is that the very act of engaging in self-injury reduces inhibition to suicidal behavior if someone becomes suicidal. In other words, having “practiced” injuring the body repeatedly makes it easier to actually injure the body with suicidal intent. […] What is especially important for you to know is that one of the most powerful protective factors against moving from self-injury to suicide is a feeling of connectedness to parents.
  • #45 Self-injury/cutting | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/self-injury-cutting?content_id=CON-20155318
    Self-injury mostly happens in private. Usually, it’s done in a controlled manner or the same way each time, which often leaves a pattern on the skin. […] Becoming upset can trigger urges to self-injure. Many people self-injure only a few times and then stop. But for others, self-injury can become a longer term, repeated behavior. […] Self-injury is not usually a suicide attempt, but it can increase the risk of suicide because of the emotional problems that trigger self-injury. And the pattern of damaging the body in times of distress can make suicide more likely. […] Self-injury can cause complications, such as: Worsening feelings of shame, guilt and low self-esteem. Infection, either from wounds or from sharing tools. Permanent scars or other permanent harm to the body. Worsening of underlying issues and conditions, if not properly treated. Severe injury that could possibly lead to death.
  • #46 Signs & Symptoms of Self-Harm | Cedar Crest Hospital
    https://www.cedarcresthospital.com/disorders/self-harm/symptoms-signs-effects/
    Even though self-injury is not considered a suicidal act, it can still leave an individual with a vast number of long term effects. […] The consequences associated with self-injury can range from minor irritations to extremely serious injury and death. […] Effects from self-harm will depend upon the way in which an individual has chosen to harm themselves, but the most common long-term effects include: Scarring, injured tendons, nerves, blood vessels, and muscles, permanent weakness or numbness in certain areas such as the hand, loss of a limb, brain damage, organ damage, broken bones, social isolation, feelings of shame, disgust, and guilt, poor self-esteem, worsening mental health conditions, worsening physical health, loss of interpersonal relationships, infections, septicemia, suicide or suicidal behaviors, accidental death.
  • #47 Self-injury (Cutting, Self-Harm or Self-Mutilation) | Mental Health America
    https://mhanational.org/conditions/self-injury-cutting-self-harm-or-self-mutilation/
    The relief that self-injury brings is temporary, and destructive cycle often develops without proper treatment. Self-injury can also be a way for people to have control over their bodies when they have little or no control over other parts of their lives. […] The diagnosis for someone who self-injures can only be determined by a medical or mental health professional. Self-injury behaviors can be a symptom other mental illnesses, such as: personality disorders, bipolar disorder, depression, anxiety disorders, obsessive-compulsive disorder, and psychotic disorders, such as schizophrenia. […] The relationship between suicide and self-injury is complicated. While people with non-suicidal self injury do not intend to complete suicide, they may cause more harm than intended, which could result in medical complications or death. In severe or long-term cases of self-injury, a person may become desperate about their lack of control over the behavior and its addictive nature, which may lead them to purposefully attempt suicide.
  • #48 Cutting Addiction: Symptoms, Causes, And Treatment
    https://valleyspringrecovery.com/addiction/behavioral/cutting/
    Relationship difficulties are a symptom of cutting addiction, as individuals with a cutting disorder may experience difficulty in their interpersonal relationships due to the physiological and psychological effects of their substance use. […] Cutting addiction can have a significant impact on mental health, leading to general distress that manifests in various forms, including anxiety, depression, antisocial and psychotic symptoms, obsessive-compulsive disorder (OCD), and low self-esteem. […] Individuals who engage in self-harm, like cutting, have an elevated risk of suicide compared to non-self-harming suicidal individuals. […] Cutting addiction harms physical health, causing bleeding, bruising, infection, permanent scarring, gangrene, nerve damage, and injured muscles, tendons, and blood vessels.
  • #49 Cutting Addiction: Symptoms, Causes, And Treatment
    https://valleyspringrecovery.com/addiction/behavioral/cutting/
    Cutting addiction can negatively impact mental health by exacerbating conditions such as depression, anxiety, and post-traumatic stress disorder (PTSD). […] Cutting addiction is often linked to depression and anxiety due to the psychological release it provides. […] The symptoms of cutting addiction withdrawal may include a crash followed by fatigue, anxiety, and emotional distress. […] Cutting can become addictive for teens due to its temporary relief from emotional pain, serving as a coping mechanism.
  • #50 Cutting and Self-Harm – HelpGuide.org
    https://www.helpguide.org/mental-health/suicide-self-harm/cutting-and-self-harm
    Self-harm can be a way of dealing with deep distress and emotional pain. It may help you express feelings you cant put into words, distract you from your life, or release emotional pain. Afterwards, you probably feel betterat least for a little while. But then the painful feelings return, and you feel the urge to hurt yourself again. […] Self-harm includes anything you do to intentionally injure yourself. Some of the more common ways include: Cutting or severely scratching your skin. […] The relief that comes from cutting or self-harming is only temporary and creates far more problems than it solves. […] Relief from cutting or self-harm is short lived, and is quickly followed by other feelings like shame and guilt. […] You can hurt yourself badly, even if you dont mean to. […] Youre at risk for bigger problems down the line.
  • #51 Cutting and Self-Harm – HelpGuide.org
    https://www.helpguide.org/mental-health/suicide-self-harm/cutting-and-self-harm
    Self-harm can become addictive. […] The bottom line is that cutting and self-harm wont help you with the issues that made you want to hurt yourself in the first place. […] Understanding what triggers you to cut or self-harm is a vital step towards recovery. […] Self-harm is most often a way of dealing with emotional pain. […] If you self-harm to express pain and intense emotions, you could: Paint, draw, or scribble on a big piece of paper with red ink or paint. […] The help and support of a trained professional can help you work to overcome the cutting or self-harming habit, so consider talking to a therapist. […] Remember, self-harm doesnt occur in a vacuum. […] There is often a connection between self-harm and childhood trauma. […] The severity of a persons wounds has very little to do with how much they may be suffering.
  • #52 Self-injury/cutting – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/self-injury/diagnosis-treatment/drc-20350956
    Although some people may ask for help, sometimes family or friends discover the self-injury. […] There’s no specific test to diagnose self-injury. Diagnosis is based on a physical and psychological evaluation. […] A mental health professional also may evaluate you for other mental health conditions that could be linked to self-injury, such as depression or personality disorders. […] Treatment is based on your specific issues and any related mental health conditions you might have, such as depression. […] Because self-injury can become a major part of your life, it’s best to get treatment from a mental health professional who is experienced in treating self-injury. […] If the self-injury behavior is linked with a mental health condition, such as depression or borderline personality disorder, the treatment plan focuses on that condition, as well as the self-injury behavior.
  • #53 Self-injury/cutting – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/self-injury/diagnosis-treatment/drc-20350956
    Although some people may ask for help, sometimes family or friends discover the self-injury. […] There’s no specific test to diagnose self-injury. Diagnosis is based on a physical and psychological evaluation. […] A mental health professional also may evaluate you for other mental health conditions that could be linked to self-injury, such as depression or personality disorders. […] Treatment is based on your specific issues and any related mental health conditions you might have, such as depression. […] Because self-injury can become a major part of your life, it’s best to get treatment from a mental health professional who is experienced in treating self-injury. […] If the self-injury behavior is linked with a mental health condition, such as depression or borderline personality disorder, the treatment plan focuses on that condition, as well as the self-injury behavior.
  • #54 Cutting & Self-Harm: Signs, Diagnosis & Treatment Options – Mission Connection Healthcare
    https://missionconnectionhealthcare.com/what-we-treat/self-harm/
    When diagnosing self-harm, a mental health provider will typically schedule an initial assessment. This usually involves a conversational interview to discuss how long the self-injury has been occurring and the types of methods used. […] If you see the signs and symptoms of self-injury in yourself or a loved one, it’s time to seek help. Professional help is especially important if there is severe emotional distress or if the self-harm behaviors are escalating and worsening.
  • #55 Self-Harm: Symptoms, Causes, Diagnosis, and Treatment
    https://www.verywellmind.com/self-injury-and-cutting-1065420
    While suicide is not the intent of self-injury, self-harm has a strong association with suicide attempts. In one study of adolescents, 46% who had engaged in non-suicidal self-injury went on to attempt suicide before the age of 21. […] Self-injury is not a recognized disorder, but it is a sign that a person needs help coping. A doctor will start by evaluating whether or not the individual is suicidal and treating any physical injuries that are present. […] A doctor or therapist will then evaluate the person’s health history including: The emotions that are associated with the behaviors; How long the self-injury has been taking place; The severity and types of injuries that have taken place. […] Medications such as antidepressants, mood stabilizers, and anxiolytics may alleviate the underlying feelings that the patient is attempting to cope with through self-injury.
  • #56 Nonsuicidal Self-Injury (NSSI) – Psychiatric Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/psychiatric-disorders/suicidal-behavior-and-self-injury/nonsuicidal-self-injury-nssi
    Nonsuicidal self-injury tends to start in early adolescence. […] The natural history is unclear, but the behavior appears to decrease after young adulthood. […] Patients often injure themselves repeatedly in a single session, creating multiple lesions in the same location, typically in areas that are easily hidden but accessible. […] The behavior is often repeated, resulting in extensive patterns of scarring. […] Assessment of nonsuicidal self-injury should include determining how often nonsuicidal self-injury occurs and how long it has been occurring. […] Determining the function of nonsuicidal self-injury for the patient. […] No medications have been approved for the treatment of nonsuicidal self-injury. However, naltrexone and certain second-generation antipsychotics have been effective in some patients.
  • #57 Self-harm | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/mental-health/self-harm/
    Self-harm is linked to anxiety and depression. These mental health conditions can affect people of any age. Self-harm can also occur alongside antisocial behaviour, such as misbehaving at school or getting into trouble with the police. […] Some research has suggested that people who self-harm may have difficulty managing or regulating their emotions. They use self-harm as a way of managing tension and anger. […] It is important for anyone who self-harms to see their GP, who will aim to treat the underlying emotional cause as well as any physical injury. […] Recent research indicates that most teenagers who self-harm are able to give up this behaviour as they learn to manage feelings in healthier ways, for example, by talking to others. […] However, some young people who self-harm continue to do so into adulthood and if you fall into this category, your GP may refer you to a mental health professional. […] You may be offered a psychosocial assessment, which aims to investigate all the factors that contribute to your self-harming, including social factors, psychological factors, and motivational factors.
  • #58 Self-injury/cutting – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/self-injury/diagnosis-treatment/drc-20350956
    Although some people may ask for help, sometimes family or friends discover the self-injury. […] There’s no specific test to diagnose self-injury. Diagnosis is based on a physical and psychological evaluation. […] A mental health professional also may evaluate you for other mental health conditions that could be linked to self-injury, such as depression or personality disorders. […] Treatment is based on your specific issues and any related mental health conditions you might have, such as depression. […] Because self-injury can become a major part of your life, it’s best to get treatment from a mental health professional who is experienced in treating self-injury. […] If the self-injury behavior is linked with a mental health condition, such as depression or borderline personality disorder, the treatment plan focuses on that condition, as well as the self-injury behavior.
  • #59 Self-injury/cutting – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/self-injury/diagnosis-treatment/drc-20350956
    Treating self-injury behavior can take time, hard work and your own desire to recover. […] Several types of individual psychotherapy may be helpful, such as: […] Cognitive behavioral therapy (CBT), which helps you identify unhealthy, negative beliefs and behaviors and replace them with more effective ones. […] Dialectical behavior therapy, a type of CBT that teaches behavioral skills to help you handle distress, manage or regulate your emotions, and improve your relationships with others. […] Mindfulness-based therapies, which help you live in the present and cope with difficult emotions and negative thoughts. […] There are no medicines to specifically treat self-injuring behavior. […] However, if you’re diagnosed with a mental health condition, such as depression or an anxiety disorder, your health care provider may recommend antidepressants or other medicines to treat the underlying condition that’s linked with self-injury.
  • #60 Self-injury/cutting – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/self-injury/diagnosis-treatment/drc-20350956
    Treating self-injury behavior can take time, hard work and your own desire to recover. […] Several types of individual psychotherapy may be helpful, such as: […] Cognitive behavioral therapy (CBT), which helps you identify unhealthy, negative beliefs and behaviors and replace them with more effective ones. […] Dialectical behavior therapy, a type of CBT that teaches behavioral skills to help you handle distress, manage or regulate your emotions, and improve your relationships with others. […] Mindfulness-based therapies, which help you live in the present and cope with difficult emotions and negative thoughts. […] There are no medicines to specifically treat self-injuring behavior. […] However, if you’re diagnosed with a mental health condition, such as depression or an anxiety disorder, your health care provider may recommend antidepressants or other medicines to treat the underlying condition that’s linked with self-injury.
  • #61 Self-injury/cutting | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20155318/
    There are no medicines to specifically treat self-injuring behavior. However, if youre diagnosed with a mental health condition, such as depression or an anxiety disorder, your health care provider may recommend antidepressants or other medicines to treat the underlying condition thats linked with self-injury. Treatment for these conditions may help reduce the urge to hurt yourself.
  • #62 Self-injury/cutting – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/self-injury/diagnosis-treatment/drc-20350956
    If you injure yourself severely or repeatedly, your health care provider may recommend that you be admitted to a hospital for psychiatric care. […] Recognize the situations or feelings that might trigger your desire to self-injure. […] Make a plan for other ways to soothe or distract yourself or to get support, so you’re ready the next time you feel the urge to self-injure. […] Symptoms you’ve had, including triggers for self-injury, how long you’ve been self-injuring, if you use any objects, and where on your body you usually self-injure. […] What seems to trigger your self-injury?
  • #63 Self-injury/cutting | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20155318/
    The first step is to tell someone about your self-injuring behavior so you can get help. Treatment is based on your specific issues and any related mental health conditions you might have, such as depression. Because self-injury can become a major part of your life, its best to get treatment from a mental health professional who is experienced in treating self-injury. […] Treating self-injury behavior can take time, hard work and your own desire to recover. […] Psychotherapy can help you: Identify and manage underlying issues that trigger self-injury. Learn skills to better manage distress. Learn better ways to manage intense emotions. […] If you injure yourself severely or repeatedly, your health care provider may recommend that you be admitted to a hospital for psychiatric care. Being cared for in a hospital, often short term, can provide a safe environment and more-intensive treatment until you get through a crisis.
  • #64 Self-injury/cutting – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/self-injury/diagnosis-treatment/drc-20350956
    Treating self-injury behavior can take time, hard work and your own desire to recover. […] Several types of individual psychotherapy may be helpful, such as: […] Cognitive behavioral therapy (CBT), which helps you identify unhealthy, negative beliefs and behaviors and replace them with more effective ones. […] Dialectical behavior therapy, a type of CBT that teaches behavioral skills to help you handle distress, manage or regulate your emotions, and improve your relationships with others. […] Mindfulness-based therapies, which help you live in the present and cope with difficult emotions and negative thoughts. […] There are no medicines to specifically treat self-injuring behavior. […] However, if you’re diagnosed with a mental health condition, such as depression or an anxiety disorder, your health care provider may recommend antidepressants or other medicines to treat the underlying condition that’s linked with self-injury.
  • #65 Self-injury (Cutting, Self-Harm or Self-Mutilation) | Mental Health America
    https://mhanational.org/conditions/self-injury-cutting-self-harm-or-self-mutilation/
    If someone displays the signs and symptoms of self-injury, a mental health professional should be contacted. A provider with self-injury expertise may be especially helpful, if available. Self-injury treatment options include outpatient therapy, partial-inpatient (6-12 hours a day) care, and inpatient hospitalization. When the behaviors interfere with daily living, such as employment and relationships, and are health or life-threatening, a specialized self-injury hospital program with an experienced staff is recommended. […] Effective treatment of self-injury is most often a combination of medication, cognitive/behavioral therapy, and interpersonal therapy, with additional treatment services as needed.
  • #66 Self-injury/cutting | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20155318/
    The first step is to tell someone about your self-injuring behavior so you can get help. Treatment is based on your specific issues and any related mental health conditions you might have, such as depression. Because self-injury can become a major part of your life, its best to get treatment from a mental health professional who is experienced in treating self-injury. […] Treating self-injury behavior can take time, hard work and your own desire to recover. […] Psychotherapy can help you: Identify and manage underlying issues that trigger self-injury. Learn skills to better manage distress. Learn better ways to manage intense emotions. […] If you injure yourself severely or repeatedly, your health care provider may recommend that you be admitted to a hospital for psychiatric care. Being cared for in a hospital, often short term, can provide a safe environment and more-intensive treatment until you get through a crisis.
  • #67 Self-Injury Signs & Symptoms | Longleaf Hospital
    https://www.longleafhospital.com/disorders/self-injury/signs-symptoms-effects/
    It is very possible to recover from self-injury; it simply may take time to learn more adaptive, healthy coping mechanisms. […] Self-harm is most common in teens and adolescents. In fact, 90% of individuals who engage in self-injury report beginning to do so during their teenage years. […] Self-injury is not considered to be the result of a single cause or risk factor; rather, a number of factors work together to cause the onset of self-harming behaviors. […] Symptoms will vary upon method used, frequency, and severity, and may include: […] Individuals who do not engage in treatment for self-harm will continue to see a worsening of this behaviors effects, such as the following: […] Many people who engage in self-injury are struggling with mental illness.
  • #68 Understanding Self-Injury in Teens | Newport Academy
    https://www.newportacademy.com/resources/mental-health/self-injury/
    Self-harming usually starts as a way to relieve the build-up of pressure from distressing thoughts and feelings. While this might provide temporary relief from the emotional pain, this relief is only temporary because the underlying reasons still remain. […] Treatment for self-harm and suicidal ideation at Newport addresses the root causes of the self-destructive behavior. Therefore, treatment for anxiety or depression may be necessary. […] For some adolescents who injure themselves, residential or outpatient treatment may be appropriate.
  • #69 Self-harm | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/mental-health/self-harm/
    Self-harm is linked to anxiety and depression. These mental health conditions can affect people of any age. Self-harm can also occur alongside antisocial behaviour, such as misbehaving at school or getting into trouble with the police. […] Some research has suggested that people who self-harm may have difficulty managing or regulating their emotions. They use self-harm as a way of managing tension and anger. […] It is important for anyone who self-harms to see their GP, who will aim to treat the underlying emotional cause as well as any physical injury. […] Recent research indicates that most teenagers who self-harm are able to give up this behaviour as they learn to manage feelings in healthier ways, for example, by talking to others. […] However, some young people who self-harm continue to do so into adulthood and if you fall into this category, your GP may refer you to a mental health professional. […] You may be offered a psychosocial assessment, which aims to investigate all the factors that contribute to your self-harming, including social factors, psychological factors, and motivational factors.
  • #70 Self-Harm Treatment Center in Battle Creek, MI | Bronson
    https://www.bronsonbehavioralhospital.com/mental-health/self-harm/
    By receiving self-harm treatment, people who self-harm can learn how to break the cycle of self-destructive behaviors and find healthier ways to cope with emotional distress. […] Effective treatment can improve overall well-being and promote a higher quality of life. […] By learning about underlying factors that may contribute to self-harming behaviors, people can begin to understand why they self-harm and how they can find freedom.