HAVING A BAD MOMENT-CUTTERS

Self-injury (SI), self-harm (SH) or deliberate self-harm (DSH) is deliberate infliction of tissue damage or alteration to oneself without suicidal intent. Although the terms self-injury or self-harm have been used to refer to infliction of harm to the body's surface, the term self-harm may be used to include the harm inflicted on the body by those with eating disorders.[1] Some scholars use more technical definitions related to specific aspects of this behaviour. These acts may be aimed at relieving otherwise unbearable emotions, and/or sensations of unreality and numbness. Self-harm is listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) as a symptom of borderline personality disorder and depressive disorders. It is sometimes associated with mental illness, a history of trauma and abuse including emotional abuse, sexual abuse, eating disorders, or mental traits such as low self-esteem or perfectionism, but a statistical analysis is difficult, as many self-injurers conceal their injuries. The relationship between self-harm and suicide is a complex one, as self-harm behaviour may be potentially life-threatening, with or without suicidal intent.[2] However, attributing self harmers as suicidal is, in the majority of cases, inaccurate.[3][4] Non-fatal self-harm is common in young people worldwide[5] and due to this prevalence the term self-harm is increasingly used to denote any non-fatal acts of deliberate self-harm, irrespective of the intention.[6] There are a number of different treatments available for self-injurers which concentrate on either treating the underlying causes or on treating the behaviour itself. When self-injury is associated with depression, antidepressant drugs and treatments may be effective.[7] Other approaches involve avoidance techniques, which focus on keeping the self-injurer occupied with other activities, or replacing the act of self-harm with safer methods that do not lead to permanent damage.[8]

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