Self Harm
Hey there guys. Lately, I have seen several 'self-harming' threads on this forum, about teenagers who have hurt themselves on deliberate to try and relieve pain, make themselves feel better, attention etc. by perhaps slitting their wrists etc. Therefore, in this post I am basically going to try and sum up self-harming for you, and explain why people do it, why you shouldn;t and the help self-harmers can get, so I hope you find it useful.
What is self harm?
It's called many things -- self-inflicted violence, self-injury, self-harm, parasuicide, delicate cutting, self-abuse, self-mutilation. Basically, self harm is the act of attempting to change a mood state by inflicting physical harm serious enough to cause tissue damage to one's body.
Approximately 1% of the United States population uses physical self-injury as a way of dealing with overwhelming feelings or situations, often using it to speak when no words will come.
How common is self harm?
Although it may not actually be obvious to you, or your not aware of it, it has been proved that more than one in 10 adolescents have deliberately harmed themselves. The study, commissioned by the Samaritans and conducted by the Centre for Suicide Research at Oxford University, found youngsters were more likely to harm themselves if they had friends who had already done so. Each year in the UK more than 24,000 teenagers are admitted to hospital after deliberately harming themselves.
What are examples of self harm behavior?
The forms and severity of self harm can vary, although the most commonly seen behavior is:
*cutting
*burning
*head-banging
Other forms of self-injurious behavior include:
*carving
*scratching
*branding
*marking
*burning/abrasions
*biting
*bruising
*hitting
*picking/pulling skin and hair.
It's not self-injury if the primary purpose is:
*sexual gratification
*body decoration (e.g., body piercing, tattooing)
*spiritual enlightenment via ritual
*fitting in or being cool
Why does self harming make some people feel better?
It reduces physiological and psychological tension rapidly.
Studies have suggested that when people who self-injure get emotionally overwhelmed, an act of self-harm brings their levels of psychological and physiological tension and arousal back to a bearable baseline level almost immediately. In other words, they feel a strong uncomfortable emotion, don't know how to handle it (indeed, often do not have a name for it), and know that hurting themselves will reduce the emotional discomfort extremely quickly. They may still feel bad (or not), but they don't have that panicky jittery trapped feeling; it's a calm bad feeling.
Some people never get a chance to learn how to cope effectively.
One factor common to most people who self-injure, whether they were abused or not, is invalidation. They were taught at any early age that their interpretations of and feelings about the things around them were bad and wrong. They learned that certain feelings weren't allowed. In abusive homes, they may have been severely punished for expressing certain thoughts and feelings. At the same time, they had no good role models for coping. You can't learn to cope effectively with distress unless you grow up around people who are coping effectively with distress. Although a history of abuse is common about self-injurers, not everyone who self-injures was abused. Sometimes invalidation and lack of role models for coping are enough, especially if the person's brain chemistry has already primed them for choosing this sort of coping.
Self-punishment (either because they believe they deserve punishment for either having good feelings or being an "evil" person or because they hope that self-punishment will avert worse punishment from some outside source.
What kinds of people self-injure?
Self-injurers come from all walks of life and all economic brackets. People who harm themselves can be male or female; straight, gay, or bisexual; Ph.D.s or high-school dropouts or high-school students; rich or poor; from any country in the world. Some people who self-injure manage to function effectively in demanding jobs; they are teachers, therapists, medical professionals, lawyers, professors, engineers. Some are on disability. Their ages range from early teens to early 60s.
"Self-inflicted violence is just an attempt to manipulate others."
Some people use self-inflicted injuries as an attempt to cause others to behave in certain ways, it's true. Most don't, though. If you feel as though someone is trying to manipulate you with SI, it may be more important to focus on what it is they want and how you can communicate about it while maintaining appropriate boundaries. Look for the deeper issues and work on those.
What help is on offer?
If you perhaps want to begin self harming, or if you are already a self harmer and want out of it, you've made a wise decision. Remember, you're not alone. Lots of other young people who self-harm have made the same decision - and many have been helped to stop hurting themselves. There is a wide variety of help on offer to you to get you started, and most of them are free and easy to take up.
*One of the best ways to get help is finding someone you can talk to and trust. This could be a parent, grandparent, brother, sister, friend, school nurse, teacher, social worker, school counsellor or youth worker.
*Samaritans offer you confidential, non-judgemental emotional suppoer 24 hours a day, meaning you can privately speak to someone who won't judge you from what you tell you. They will offer you help on what they can, or set you in the right direction.
You can go to http://www.samaritans.org/ for more information.
*You could even make an appointment with your doctor or GP and ask them for help, knowing everything you say will be kept confidential and private.
If you make an appointment to see someone and you feel uncomfortable going on your own, take a friend or family member with you. They can provide support and help you remember what was said.
Before your appointment, write down all the questions you want to ask and make sure they've all been answered before you leave
Write down the answers you're given. If you’re given the names of other people or organisations, make sure you write down the correct contact information
There may be a number of support or treatment options available. Explain that you would like to know about all possible alternatives.
If something is said during the meeting that you don’t understand, don't be afraid to ask the person to explain what they mean.
Ask if there are any leaflets or other types of information you can take away with you.
If the appointment is with a mental health professional or counsellor you might want to see on a regular basis, use your first meeting to decide whether you feel comfortable with them and whether they are someone you think you could trust.
If you don’t feel that you are going to get on with a particular person or professional, go elsewhere. You have the right to choose. What matters is that you get the help you need.
Don't forget, you don't have to take any help or advice if it doesn't feel right.
Good luck, and hopefully this has helped anyone who is simply curious about self harm, looking for information, is a self-harmer or is thinking of becoming one.
[This guide is made up from a number of different resources, and also by me personally]







