Self-harm (SH) is deliberate injury inflicted by a person upon his or her own body. Some scholars use more technical definitions related to specific aspects of behavior. This injury may be aimed at relieving otherwise unbearable emotions, sensations of unreality and numbness, or for other reasons. Self-harm is generally a social taboo. It is listed in the DSM-IV-TR as a symptom of Borderline Personality Disorder and is sometimes associated with mental illness, with a history of trauma and abuse, with eating disorders, or with mental traits such as perfectionism. There is a positive statistical correlation between self-harm and emotional abuse.[Meltzer, Howard, et. al., (2000), Non Fatal Suicidal Behaviour Among Adults aged 16 to 74 in Great Britain, The Stationary office ISBN 0116215488] [ Rea, K., Aiken, F., and Borastero, C., (1997) Building Therapeutic Staff: Client Relationships with Women who Self-Harm, Women's Health Issues, 7, 2, p121-125. ]
Note that this article focuses on repetitive self-harm, not severe self-harm inflicted during psychosis, such as eye enucleation and amputation. Click schnittwunden.JPG for an image showing an example of repetitive self-harm.
Definition
Self-harm is also known as
self-injury (
SI),
self-inflicted violence (
SIV),
self-injurious behavior (
SIB), and
self-mutilation[ LifeSIGNS Self Injury Awareness Booklet, Version 2 Mar. 01, 2005 from Self Injury Awareness Booklet, LifeSIGNS ], although this last term has connotations that some people find worrisome, inaccurate, or offensive. When discussing self-harm with someone who engages in it, it is suggested to use the same terms and words which that person uses, e.g. "cutting".
[Spandler, H (1996) Who's Hurting Who? Young people, self-harm and suicide, Manchester: 42nd Street ISBN 1900782006] Self-harm is usually dissociated from an attempt at
suicide; the person who self-harms is not usually seeking to end his or her own life, but is instead hoping to cope with or relieve unbearable emotional pressure or some kind of discomfort.
[Fox, C & Hawton, K (2004) Deliberate Self-Harm in Adolescence, London: Jessica Kingsley ISBN 18431022366]
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Self Harm - Provides information to help young people cope and recover. Explains different types of self-harm, how common it is, why it is difficult to ask for help, and services available in the UK to help.
Adullam Ministries - Learn alternatives to self-harm, how to get help when you want to stop and read survivor stories. Includes moderated forum.
Meta Description: [ UK based Adullam Ministries deals with self harm and associated issues. ]
Cutting/Self-Injury - Discusses common myths and offers advice on stopping, telling someone and how to help a friend.
Cutting: Self-Injury by Teens - A report by a teenager on the true experiences of young people who have harmed themselves with suggestions for seeking help.
Meta Description: [ A YPP e-zine dealing with domestic violence. ]
How Can I Help a Friend Who Cuts? - Explains why people cut and gives some tips on what you can to help. Includes what to do in an emergency.
Meta Description: [ Some people cope by cutting themselves. This article helps friends understand why people cut and gives some tips on what you can to help your friend — and yourself. ]
Need2know: No More Self-Harm - Article by a 15 year old describing how discovering and writing poetry helped her to stop cutting herself.
Meta Description: [ n2k reader, Kate, used to get so stressed out about things in her life that she used to cut herself. But one day, she came across a web site that changed her life. ]
Self-Harm FAQ - Providing basic information about self-harm for young people and their families.
YoungMinds: Self-Harm - Information to help young people understand more about self-injury and to where to find support. Includes details of national organisations.
YouthNoise: Learning to Cope With Self-Injury - Practical advice on seeking help, coping with stress and helping others who self-injure.