For people struggling with severe emotional distress, their emotional pain can lead to harmful practices such as self-harm cutting and purposeful self-inflicted injuries. Therapy for self harming can be applied successfully with proper therapeutic interventions.
At We Level Up Palm Beach FL our best-in-class therapy for self-harm isn’t just about ceasing a harmful habit; it’s an intricate journey that unravels underlying emotional complexities compelling acceptance and healing. It’s a transformative process that gradually enlightens patients to replace destructive tendencies with positive coping skills. The ultimate goal is a life marked by health, happiness, and fulfillment.
- Understanding the Cause: Therapy begins with understanding the root cause of self-harm. One can start to address the underlying issues by unraveling the emotions leading to self-injury.
- Self Harm Cutting Treatment: One unique approach to self-harm treatment is cutting therapy. This process focuses on healing individuals who cope with emotional pain through physical self-injury, such as cutting. In a safe and controlled environment, therapists guide patients toward understanding their self-harming tendencies and finding healthier coping mechanisms.
- Self-Harming Treatment Options: There are various treatment regimens available to tackle self-harm. These include cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and more. Each treatment is custom-tailored to the individual, ensuring a comprehensive and effective strategy to combat self-harm.
In a nutshell, therapy for self-harm is a journey of understanding, acceptance, and healing. It’s about learning to replace harmful habits with positive coping mechanisms, ultimately leading to a healthier, happier life.
If you or someone you know is struggling with self-harm or cutting, seeking therapy for self harming with specialized self harm treatment centers like We Level Up Palm Beach is critical for receiving the support and self harm therapy needed. Professional self harm treatment facilities can help address the underlying issues that may be contributing to self-injury behaviors and provide coping strategies to manage emotions in healthier ways.
Self Harm Definition
Self-harm refers to the deliberate act of causing oneself physical harm, often through cutting. Despite the common misconception, self-harm is not necessarily a sign of suicidal tendencies and is not a mere ploy for attention.
Generally, self-harm or self-mutilation is described as any recurring, self-inflicted behavior leading to physical damage. It is an unhealthy mechanism individuals use to deal with emotional turmoil, intense rage, and exasperation. Regardless of the circumstances, it is vital to recognize that professional treatment for self-harm is accessible for everyone grappling with this issue.
Self-harm can manifest in numerous ways and can be triggered by a variety of emotional or mental stressors, including the inability to cope with the loss of a loved one. For example, a person might self-harm by hitting their head against a wall or using an object to inflict harm upon themselves. Moreover, self-harming behaviors may also include self-starvation and distancing oneself from social interactions with family and friends.
Among the diverse types of self-harm, the most prevalent involves cutting or scratching the skin, typically targeting the arms, legs, or abdomen. Some individuals might engage in self-harm to such an extent that it warrants medical intervention. Beyond being a destructive coping mechanism, self-harm can indicate more deep-seated problems such as depression, anxiety, or a history of abuse. Tragically, those who self-harm often perceive themselves as undeserving of help and may attempt to conceal their self-destructive habits from others.
Self-Harm Symptoms
Professional therapy for self harming can help you overcome self injury painful emotional scars. Here are the symptoms of self-harm ranked in order of most common:
Most Common:
- Cutting: Using sharp objects to injure the skin, often in patterns or lines.
- Scratching or picking at skin: Repeatedly scratching or picking at the skin, leading to wounds or scabs.
- Hitting or punching: Inflicting physical harm on oneself by hitting or punching oneself or objects.
Less Common:
- Burning: Using heat sources (cigarettes, lighters) to inflict burns on the skin.
- Hair pulling: Compulsively pulling out hair, leading to bald patches or thinning hair.
- Substance abuse: Misusing alcohol, prescription drugs, or recreational drugs to self-harm.
- Eating disorders: Engaging in extreme eating patterns like overeating or severely restricting food intake.
- Unsafe sex: Engaging in sexual activity without protection increases the risk of physical harm or sexually transmitted infections.
Least Common:
Skip To:
- Inserting objects: Inserting foreign objects under the skin or into body openings.
- Biting oneself: Intentionally biting oneself causes injuries to the skin.
- Engaging in fights: Deliberately putting oneself in situations where physical harm is likely.
For a little while after inflicting self-harm, you may feel a sense of release. However, what caused your distress will not go away so quickly. Self-harm can also bring up challenging emotions. In return, it could make you feel worse. That’s why therapy for self harming is essential for so many to break the cycle of the disorder.
Self Harm Suicide Risks
Self-harm is not synonymous with suicide attempts; it isn’t an act aimed at terminating one’s life. Instead, it serves as a coping mechanism by which individuals deal with their emotional distress.
Nevertheless, statistical evidence shows that people who resort to self-injury are nine times more likely to contemplate suicide at some point.
Now, if this resonates, keep in mind that every individual is unique, and self-harm doesn’t always translate to a future suicide attempt.
Self-Harm Cutting Dangers
Cutting is the most frequent form of self-inflicted injury. This may also coincide with other harmful behaviors such as pulling one’s hair, burning the skin, or suffering from eating disorders like anorexia. People who engage in cutting use a variety of tools to harm themselves, ranging from a pointed piece of metal to more conventional sharp objects such as razors.
The act of cutting is not typically a suicide attempt or a long-term plan to harm oneself. Instead, it’s an immediate response to overwhelming stress or emotional pain, providing a temporary sense of release for the person causing harm to their own body.
The danger, however, lies in the potential for chronic cutting. Over time, this behavior can lead to significant health complications. These include the risk of disease transmission, the possibility of infections, and the severe threat of excessive blood loss. Additionally, there’s the inherent risk of accidentally hitting a vein or artery while cutting. This, unfortunately, could have life-threatening consequences.
Self-Embedding Risks
Self-embedding is a severe type of self-inflicted injury where an individual intentionally implants objects, often things like staples or needles, into their skin. This behavior might take different forms. There are instances when a person might leave the embedded object in place indefinitely or for a specified duration. Sometimes, these objects are trapped under the skin unintentionally due to the inserter’s inability to remove them. However, the items are intentionally left beneath the skin in other cases. Although not commonplace, self-embedding tends to be more prevalent among younger females.
Self Harm Statistics
Self-harm without suicidal intent, also known as Nonsuicidal Self-Injury (NSSI), tends to be closely linked with emotional and mental distress. This troubling behavior is more prevalent among younger adults, with available data suggesting that lifetime incidents amount to roughly 15% to 20%. The usual onset of this behavior is observed around the crucial teenage years, specifically at about 13 or 14 years old.
Comparatively, the adult population shows a markedly lower rate of NSSI, with approximately 6% reporting a history of such behavior. There are ongoing debates regarding this discrepancy. Some suggest it may be due to an upward trend amongst the more recent generation of teenagers, while others propose it might be a result of an adult’s potentially imperfect recall of their adolescent years, leading to an underreporting of NSSI.
- NSSI tends to be quite prevalent in individuals suffering from emotional and mental distress.
- Young adults show the highest incidence of NSSI, with 15% to 20% having experienced it at some point.
- Typically, the onset of NSSI is around 13 to 14.
- In contrast, only about 6% of adults report a history of NSSI, a statistic that’s currently being debated for accuracy.
- Overall, the rates of NSSI seem to remain relatively consistent across various countries.
Premier Effective Therapy for Self Harming
Looking for a solution to self-harming behaviors? Look no further. At We Level Up Palm Beach, we offer specialized world-class therapy for self harming. Comprehensive treatment for self harming focuses on helping those struggling with self harm. With expertise in:
- Self harm cutting treatment and self harm scar treatment.
- Implementing Cognitive Behavioral Therapy for self harm specifically aimed at understanding and coping.
- Creating individualized self harm treatment plan goals as part of your treatment plan.
- Building comprehensive programs for sustainable, long-term recovery.
Our compassionate professionals are dedicated to guiding you on a path to better mental health and liberation from self-harm. Our main objective is to provide an environment that fosters growth, healing, and lifelong recovery.
What Should You Do in Case Someone is Self-Harming?
Self-harm is often a symptom of a broader issue. Other visible signs of emotional turmoil can accompany it. Individuals dealing with such a condition may frequently exhibit feelings of worthlessness or despair, manifest poor impulse regulation, or struggle with maintaining harmonious relationships. Here’s how to help someone who is slef-harming:
- If you’re concerned that a loved one might be inflicting harm on themselves, initiate a conversation. Ask them how they are faring, and be ready to listen to their response, even if it makes you feel uneasy.
- Acknowledging this problem might also be challenging. However, among the best approaches is to assure them that you will steadfastly support them despite your inability to comprehend their situation entirely. It’s essential to respect their emotional state and refrain from belittling or making light of it.
- Calmly urge the individual to seek professional help as a solution to their self-harm tendencies. Make it known to them that self-harm is not an uncommon issue, and some therapists specialize in providing aid.
- Offer your assistance in locating suitable treatment facilities or services for self-harm.
- Do not be confrontational or attempt to extract a promise from them to stop immediately, as overcoming this issue extends beyond sheer willpower.
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FREE 24/7 Dual Diagnosis Mental Health Therapy HelplineSelf Harm Motivations
Self-harm is as a physical attempt to regulate extreme emotional discomfort. In essence, self-harming behavior can arise from an individual’s need to manage negative emotions, thoughts, or memories.
- Dealing with Physical Pain versus Emotional Distress: At times, physical pain can feel more manageable than emotional turmoil. Consequently, self-harm is seen as a method to momentarily alleviate feelings of emotional emptiness and distress that are caused by overwhelming emotions.
- Distraction from Difficult Circumstances: Additionally, self-harm can act as a distraction from challenging life situations, inducing endorphin release in the brain that can lead to euphoric sensations.
- Associated Disorders: While self-harm is most commonly linked with depression, it’s worth noting that it can also be a symptom in those battling anxiety and eating disorders.
- The Risk of Untreated Self-Harm: If self-harm goes unrecognized and untreated, it can potentially result in fatal outcomes and may hinder the process of providing essential help to an affected individual.
- Perception Changes in Treatment: Although self-harm is typically viewed as a negative coping mechanism, healthcare practitioners in the field of mental health are working to transform this perception during treatment. Instead, they aim to identify and understand the various underlying causes of self-harm.
Top Five Self Harm Warning Signs
Individuals who self-harm often employ various strategies to conceal their harmful behaviors, however, they usually inadvertently leave some clues behind. Recognizing these warning signs is crucial in identifying if someone is self-inflicting wounds. Let’s delve into understanding some of these indicators:
- Observable and recurrent injuries: One of the prevalent signs includes frequent wounds such as cuts or bruises, which they often attribute to accidental incidents.
- Accumulation of harmful tools: Another sign could be a collection of sharp or dangerous objects without obvious use, like needles or bottle caps. An unusually high consumption of razors may also be a cause for concern.
- Blood stains on personal items: Blood stains originating from self-harm activities may be visible on an individual’s towels, clothes, or bedding. A person may also discard many bloody tissues or bandages in their trash, which could be a significant warning sign.
- Use of concealing attire: In an attempt to hide scars resulting from self-harm, an individual may consistently wear long-sleeved tops or pants, even in sweltering weather conditions.
- Isolation and withdrawal symptoms: Often, individuals who self-harm may alienate themselves, spending extended periods in seclusion, typically in bedrooms or bathrooms, to inflict harm privately. They may also exhibit signs of withdrawal from their regular social activities.
Understanding these signs is vital; it’s the first step in helping those who need intervention or support.
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Hotline (888) 680-7311Causes of Self Harm
The act of self-harm is often a reflection of more profound emotional struggles and feelings of despair, according to an article published in the Psychiatric Times [2]. Whether recent or long-term, those who exhibit this behavior require thorough examination and assessment. Such an evaluation aims to pave the way for determining the most effective and individualized self-harm treatment strategies.
People might resort to self-harm as a result of various difficult experiences in their lives. Some of the common triggers can include:
- Overwhelming pressures from school or professional settings.
- Experiences of bullying can cause severe emotional distress.
- Financial instability or concerns are inducing significant stress.
- Suffering from sexual, physical, or emotional abuse.
- The profound grief associated with bereavement.
- Discrimination based on sexual orientation, including homophobia, biphobia, and transphobia (refer to information on LGBTIQ+ mental health).
- Emotional turmoil resulting from the breakdown of a significant relationship.
- The loss of employment can destabilize one’s sense of security.
- Health-related issues or dealing with a long-term illness.
- Struggling with low self-esteem, which can disrupt an individual’s perception of self-worth
- An elevation in stress levels can become unmanageable.
- Battling with complex emotional states such as depression, anxiety, anger, or feelings of numbness.
If you are self-harming and worried, talk to a person you trust. It can be your close friend, a family member, doctor, or teacher.
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Link Between Mental Health Conditions and Self-Harm Behavior
Self-harm’s link with mental health conditions is not always direct or clear cut. It is crucial to underscore that not all individuals who engage in self-harming behaviors suffer from an underlying mental health condition. Additionally, self-harm cannot be categorized as a mental disorder in itself. However, it cannot be ignored that a substantial number of people who self-harm do suffer from some form of mental health disorder.
The act of self-harm is often misinterpreted as an intention to commit suicide. However, in reality, individuals who self-harm are typically not attempting to end their lives. That being said, it is crucial to understand that self-harming behaviors can increase the risk of complete suicide or death due to complications from self-inflicted injuries.
- Emotional Regulation Through Self-Harm: Interestingly, individuals who self-harm often report feeling relief during such episodes. The pain they inflict on themselves seems to alleviate feelings of sadness, anger, and frustration temporarily. Once the intense pain subsides, they often experience a sense of satisfaction, contentment, and improved mood. Thus, the primary motive behind self-harming behaviors is not necessarily to cause physical damage but to regulate emotional states.
- Connection with Mental Health Disorders: Research has demonstrated a significant correlation between self-harm and certain mental health conditions. Very closely following this group are those diagnosed with personality disorders. Hence, it can be concluded that underlying mental health disorders stand as the leading cause of self-harming behaviors.
Bipolar Disorder and Self-Harm
Exploring Bipolar Disorder and Its Link to Self-Harm
Because of violent mood swings and the stigma that accompanies bipolar disorder, many people who live with it feel the need to self-harm.
Bipolar disorder, referred to as manic-depressive disorder, is an intricate mental health condition that induces unusual and sometimes extreme mood shifts alongside a variety of additional challenges. These may include elevated energy and activity levels and difficulties maintaining focus and concentration.
There are precisely three different types of bipolar disorder you should be aware of:
- Bipolar I Disorder: This type of bipolar disorder is characterized by manic episodes, which are periods of exceedingly high energy that persist for at least 7 days. Alternatively, an individual might exhibit severe manic symptoms that necessitate immediate medical intervention and hospitalization.
- Bipolar II Disorder: Here, a person experiences a cycle of depressive and hypomanic episodes but without the presence of full-blown manic episodes, as seen in Bipolar I Disorder. These hypomanic episodes are less severe than manic episodes but still affect a person’s daily life.
- Cyclothymic Disorder: This disorder features alternating periods of hypomanic symptoms and depressive states, with these episodes extending for a minimum of 2 years.
A significant challenge associated with bipolar disorder is the accompanying societal stigma and the powerful mood swings that mark the condition. This can place extraordinary strain on those contending with the disorder, resulting in some individuals resorting to self-harm as a coping mechanism.
Post-Traumatic Stress Disorder (PTSD) and Self Harm
Understanding the Connection Between Post-Traumatic Stress Disorder (PTSD) and Self-Harm
- Post-Traumatic Stress Disorder and Self-Harm: A complex relationship exists between self-harm and traumatic experiences. This phenomenon is particularly prevalent among those who have endured a traumatic experience or a series of such experiences, with the most common instigator being sexual abuse. This fact is substantiated by a comprehensive review study, which discovered that a significant portion of regular self-harmers have been victims of child maltreatment, prominently in the form of sexual abuse.
- Deliberate Self-Harm as a Coping Mechanism: People suffering from PTSD often resort to conscious self-harm as a mechanism to regain their touch with the present moment, a process also known as “grounding”.
- Triggers of Self-Mutilation: The cultivation of this self-mutilation behavior can be attributed to the duration and intensity of the PTSD symptoms. When individuals with PTSD are faced with dissociation or flashbacks, they may engage in self-harm behaviors such as cutting or burning themselves. This drastic measure intends to provide a “shock” to their system, facilitating their return to the present moment and, consequently, cease the dissociation or flashback episodes they were undergoing before.
Dissociative Disorders and Self-Injury
Understanding Dissociative Disorders and Their Link to Self-Harm
Dissociative disorders are a category of mental health conditions characterized by a noteworthy disconnection and disruption between one’s thoughts, memories, surroundings, actions, and sense of self. They manifest as an involuntary and unhealthy escape from reality, leading to significant difficulties navigating daily living. Strikingly, research shows that individuals diagnosed with dissociative disorder are six times more prone to self-harm as compared to their contemporaries of the same age and gender in the broader population.
- The Stress of Healing: One of the core reasons for self-harming behavior among those with dissociative disorder stems from the stress associated with the healing process. Coming to terms with the disorder and working towards recovery can evoke significant mental strain, leading some individuals to turn to self-harm as an unfortunate coping mechanism.
- The Power of Self-Loathing: Another key contributor to self-harm in individuals living with dissociative disorders is the pronounced feeling of self-loathing. This is often linked to the traumatic memories that triggered the dissociative disorder in the first place, causing individuals to direct their negative feelings towards themselves.
Moreover, it is vital to discuss the societal stigma against dissociative disorders, particularly in its severe form, dissociative identity disorder. This stigma becomes so overwhelming that it triggers self-harming behavior in many affected individuals. Therefore, it is crucial to foster an environment of understanding and acceptance for people living with these disorders.
Borderline Personality Disorder and Self-Injury
Understanding Borderline Personality Disorder and Its Connection to Self-Harm
Borderline Personality Disorder, commonly abbreviated as BPD, is a severe mental health condition that profoundly affects an individual’s overall well-being. This includes navigating through turbulent interpersonal relationships, experiencing fluctuating and often negative emotions, and dealing with distorted self-perception. Frequent impulsive behaviors further compound these issues. Let’s break down these aspects:
- Unstable Interpersonal Relationships: Those struggling with BPD often find it challenging to maintain stable and healthy relationships with the people around them. Frequent conflict, misunderstandings, and feelings of mistrust can characterize their interactions.
- Emotional Turbulence: BPD sufferers are prone to experiencing intense emotional highs and lows that can be difficult to manage. They may feel overwhelming joy one moment and debilitating sorrow the next.
- Distorted Self-image: People with BPD may struggle with how they perceive themselves, leading them to feel insecure, not good enough, or overly critical about their flaws.
- Impulsive Behaviors: BPD also involves a pattern of impulsive behaviors that can harm the person or the people around them. These behaviors can range from reckless spending to rash decision-making.
A significant concern for people living with BPD is the heightened risk of self-harm that can affect anyone, regardless of their sex. Some individuals, in an attempt to cope with the crushing weight of negative emotions like abandonment, intense loneliness, and the desperate desire for a relationship, may engage in self-harming behaviors. This is a way for them to release the deep-seated, negative emotions they feel. These actions are cries for help, and these individuals require understanding, support, and professional aid to help manage their symptoms.
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Self Harm Scar Treatment
When it comes to therapy for self harming we know that scars are not just physical alterations but rather profound signs of emotional tokens. Often, incidents of self-harm are entangled with hefty feelings of guilt, regret, and disturbances related to one’s perception of their own body. It’s widely accepted within the medical community that self-harm scars is a multifaceted complex issue often requiring professional therapy for self harming. It’s not just about healing the visible wounds but understanding and healing the emotional trauma behind them.
Scars resulting from self-harm can be a glaring reminder if not adequately managed and often demand a collaborative effort from various medical disciplines to achieve the best aesthetic outcome possible. It’s vital to remember that self-harming behaviors might be a red flag pointing towards a more profound, more psychologically severe challenge. Usually, the primary course of treatment involves reassuring the individual and motivating them to seek professional help.
There are numerous viable treatments for self-harm scars. Here’s a brief rundown:
- Camouflage techniques involve concealing the scars, making them less noticeable.
- Laser resurfacing: This non-invasive procedure utilizes lasers to smooth out the skin and reduce the appearance of scars.
- Surgical removal: In this method, certain scars can be physically removed through surgical procedures.
- Synthetic Skin Techniques: Here, ‘artificial skin’ covers the scar, effectively making it invisible.
- Tissue expansion: This method stretches the skin around the scar to diminish visibility.
- Skin grafts: In this procedure, healthy skin is taken from one part of the body to cover and heal the scarred area.
Remember, the goal of these treatments is not just about improving physical appearance but also aiding in the emotional and psychological healing process.
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Treating Self-Harm and Related Conditions
Recognizing Self-Harm
A considerable amount of theoretical literature suggests a resemblance between Non-Suicidal Self-Injury (NSSI). However, only a handful of empirical studies exist that test this intriguing theory, according to a source like Science Direct. Without the proper treatment addressing the core issues of primary self-harm, the outcomes can be incredibly severe, possibly resulting in lost lives.
Therapeutic Approaches to Treat Self-Harm
Several therapeutic methods can assist in treating self-harm. The best option varies depending on the individual’s particular diagnosis:
- Psychodynamic therapy aims to examine past experiences and emotional responses to these experiences.
- Cognitive Behavioral Therapy (CBT) is designed to identify harmful thought patterns and enhance coping abilities.
- Dialectical Behavioral Therapy (DBT) can help patients develop effective coping strategies.
Risks of Ignoring Self Harm Treatment for Recovery
Studies have shown that psychiatric patients with a history of self-harm and substance abuse have lower levels of consciousness. Some of them intended to succumb to the injuries they inflicted on themselves. Neglecting the treatment of such conditions can deteriorate mental health, leading to self-harm, unhealthy coping mechanisms, or even suicide, further plunging the individual into a vicious cycle of despair.
At We Level Up Palm Beach FL mental health center, we comprehend these struggles and offer a free self-harm treatment assessment to help you understand your situation. Please reach out to us for more information.
Comprehensive Therapy for Self Harming
Effective treatments for self-harm exist and when utilized properly, they can effectively steer individuals back towards leading productive lives. The crux of any successful self-harm treatment plan revolves around psychotherapy, necessitating the individual to acquire new coping strategies.
- A prime example of psychotherapy is Cognitive Behavioral Therapy (CBT), which is widely adopted in these circumstances. This modality involves sessions with a professional therapist, providing a platform for open discussion about thoughts and feelings. Such sessions can unveil these emotions’ impact on one’s behavior and overall mental health. Research indicates that consistent engagement with therapies such as CBT can yield long-term benefits for individuals who resort to self-harm.
- In conjunction with psychotherapy, a self-harm treatment plan may also incorporate medication. This, however, is typically only utilized in instances involving mental health disorders like:
- Depression
- Borderline Personality Disorder
- Schizophrenia
Thus, through the fusion of psychotherapy and conditional medication, there are robust and effective strategies available to treat and manage self-harming behaviors. Don’t hesitate to contact us for more information on treatment options.
We Level Up Palm Beach FL Self Harm Treatment
At We Level Up Palm Beach, we provide therapy for self harming for individuals who are struggling with self-injury, in a compassionate environment devoting to promoting long-term recovery. Here are some of the ways we stand out:
- We are not just a treatment center but a specialized hub for cognitive behavioral therapy for self-harm. This means our professionals are experts in exploring the mechanics of your mind, understanding why you resort to self-harming, and helping you find healthier alternatives.
- Our self-harm cutting treatment program is not just a course that instructs you to stop a harmful habit. It’s a journey that carefully unpacks your emotional complexities and helps you to accept, understand, and heal them. Our therapists ensure you don’t simply suppress your feelings but learn to address them positively.
- Our therapy sessions are transformative, gradually guiding you toward replacing your destructive patterns with positive coping mechanisms. You won’t just be reacting to your emotions but actively controlling them in a way that is good for you.
- Lastly, our ultimate objective is not just to make you healthy but to ensure you lead a life filled with happiness and fulfillment. Everything we do here at We Level Up Palm Beach FL is to guide you towards this goal.
With us, it’s more than just therapy, it’s a journey toward a healthier, happier, and more fulfilling life
Search We Level Up Palm Beach FL “Therapy for Self Harming Treatment, Symptoms & Causes” Topics & Resources
Sources
[1] Peterson J, Freedenthal S, Sheldon C, Andersen R. Nonsuicidal Self injury in Adolescents. Psychiatry (Edgmont). 2008 Nov;5(11):20-6. PMID: 19724714; PMCID: PMC2695720.
[2] Self-harm: assessment, management and preventing recurrence. London: National Institute for Health and Care Excellence (NICE); 2022 Sep 7. (NICE Guideline, No. 225.) Available from: https://www.ncbi.nlm.nih.gov/books/NBK588208/
[4] Pickard H. Self-Harm as Violence: When Victim and Perpetrator Are One. In: Widdows H, Marway H, editors. Women and Violence: The Agency of Victims and Perpetrators. London: Palgrave Macmillan; 2015. Chapter 4. Available from: https://www.ncbi.nlm.nih.gov/books/NBK349101/
[6] Evidence reviews for supporting people to be safe after self-harm: Self-harm: assessment, management and preventing recurrence: Evidence review N. London: National Institute for Health and Care Excellence (NICE); 2022 Sep. (NICE Guideline, No. 225.) Available from: https://www.ncbi.nlm.nih.gov/books/NBK588194/
[7] Soreff SM, Basit H, Attia FN. Suicide Risk. [Updated 2022 Jun 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441982/
[8] Skegg K. Self-harm. Lancet. 2005 Oct 22-28;366(9495):1471-83. doi: 10.1016/S0140-6736(05)67600-3. PMID: 16243093.
[9] Rogers JP, Chesney E, Oliver D, Begum N, Saini A, Wang S, McGuire P, Fusar-Poli P, Lewis G, David AS. Suicide, self-harm and thoughts of suicide or self-harm in infectious disease epidemics: a systematic review and meta-analysis. Epidemiol Psychiatr Sci. 2021 Apr 27;30:e32. doi: 10.1017/S2045796021000214. PMID: 33902775; PMCID: PMC7610720.
