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Self-Injury Awareness
Do you deliberately harm yourself?
Do you know
someone who does? There's
a reasonable chance that the answer to one of these questions will be
"yes". Self-injury (also called SI, self-harm, deliberate self-harm or
DSH, self-mutilation, or cutting) is more common than most people think. If you
are one of the estimate 1% of the population that self-harms, you most
definitely are not alone. While
there are extreme forms of self-injury, most self-injury is of a superficial or
moderate nature. It involves deliberate physical harm to oneself without a
conscious intent to commit suicide. Self-injury
is deliberate. It does not include acts of self-harm that are done without
intent to hurt oneself such as smoking, excessive drinking, or accidents. Self-injury
involves physical harm to oneself. Typically, the skin is broken, such as when
there is cutting with a knife, razor or other sharp instrument. Or, there is a
bruise, such as when the person punches himself or herself. Or, there is a mark
that lasts for more than an hour, such as burning which results in a
blister. Self-injury
does not involve a conscious intent to commit suicide. A lot
of people believe that people who harm themselves are suicidal. According to MHF
Briefing No. 2: Bristol Crisis Service - Training on Self Harm, research
findings indicate that, for the women who were surveyed about self harm, it is
about trying to cope with life on a daily basis rather than trying to commit
suicide. According
to Why do people
deliberately injure themselves?, there is evidence that people who harm
themselves do so because it quickly and dramatically calms the body when faced
with strong emotions or overwhelming situations. For survivors of abuse, some
possible motivations may also include continuing abusive patterns and punishing
oneself for being "bad", an addiction to crisis behavior resulting
from repeated traumatization as a child, escaping numbness (a common problem for
survivors), or grounding in reality to ward off feelings of depersonalization or
dissociation. Most
people who self-harm are women who have been abused. However there are
self-injurers who were never abused and there are men who self-harm. There are
also a lot of women and a lot of survivors of abuse who never self-harm. Being a
woman who was abused does not necessarily mean you will harm yourself. According
to Diagnoses
associated with self-injury, self-harm is seen in a number of psychological
disorders including Borderline Personality Disorder, Eating Disorders,
Post-Traumatic Stress Disorder, Dissociative Disorders, and Anxiety and/or
Panic. Self-injury is
often misunderstood. Self-injurers trying to seek medical or mental health
treatment frequently report being treated badly by emergency room doctors and
nurses, counselors, police officers and others. To dispel the myths associated
with self-injury and help professionals learn how to appropriately respond to
self-injury, Self-Injury: Help, Outreach,
and Public Education (Self-Injury: HOPE) has designated March 1st as National Self-Injury
Awareness Day. On this date, people whose lives have been affected by
self-injury will distribute information to medical and mental health
organizations and professionals. The goal is to dispel common misconceptions
about self-injury and increase awareness. Readers
who want to help are invited to send a letter
to mayors, governors and the like asking that they proclaim March 1st to be
Self-Injury Awareness Day and include Self-Injury:
Beyond the Myths and the SI
Bill of Rights with the request.
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