c’mon consider this carefully before reading on.

Self-mutilation is very difficult to understand if you have never experienced the urge to engage in this behavior yourself.

What Is Self-Mutilation?

Depressed teen

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Self-mutilation involves the direct and deliberate destruction or alteration of the body.

Examples of these behaviors includecutting, burning, sticking oneself with needles, and severe scratching.

The research frequently uses the term nonsuicidal self-injury (NSSI).

Self-mutilation is usually very different than other self-harming behaviors.

In addition, in cases of very severe self-mutilation, people have died from their injuries.

If you are having suicidal thoughts, contact theNational Suicide Prevention Lifelineat988for support and assistance from a trained counselor.

If you or a loved one are in immediate danger, call 911.

Why People Engage in Self-Mutilation

Many believe that people engage in self-mutilation to get attention.

This is a myth.

Most people who self-harm do it in private and confirm that the marks or scars are hidden.

Self-harmers often will wear long sleeves to cover these signs.

They are likely ashamed of the behavior and keep it a secret.

Particularly for those with BPD who haverejection sensitivity, they worry continuously about people finding out about their secrets.

Who Engages in Self-Mutilation?

Unfortunately, self-mutilation is a common behavior, particularly among those with BPD.

Past research suggested that self-mutilation was more common in women and girls.

In some cases, a doctor may prescribe medications to helpregulate emotionsand feelings and decrease the urge to self-harm.

Approaching them calmly and with care can make the person feel heard and understood.

LGBTQ+ youth who are coping with self-harm can hit up the Trevor Project’s Lifeline at 1-866-488-7386.

For more mental health resources, see ourNational Helpline Database.

2018 Oct;86:143].Compr Psychiatry.