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Self Injury Behaviors (SI) - Warning
Signs
Press Release July, 2011
Self-Injury (SI) also called self-mutilation, self-harm
or self-abuse is a behavior defined as the deliberate,
repetitive, impulsive, non-lethal harming of one ’s
self.
Self-injury includes:
• cutting
• scratching
• picking scabs or interfering with wound healing
• burning
• punching self or objects
• infecting oneself
• inserting objects in body openings
• bruising or breaking bones
• some forms of hair-pulling, as well as other
various forms of bodily harm
SI behaviors are symptoms of mental health problems
that can be treated.
SI Warning Signs
Warning signs that someone is injuring themselves include:
unexplained frequent injury including cuts and burns,
wearing long pants and sleeves in warm weather, low
self-esteem, and difficulty handling feelings, relationship
problems, and poor functioning at work, school or home.
SI Incidence & Onset
Experts estimate the incidence of habitual self-injurers
is nearly 1% of the population, with a higher proportion
of females than males. The typical onset of self-harming
acts is at puberty. The behaviors often last 5-10 years
but can persist much longer without appropriate treatment.
Background of self-injurers
Though not exclusively, the person seeking treatment
is usually from middle to upper class background, of
average to high intelligence, and has low self-esteem.
Nearly 50% report physical and/or sexual abuse during
his or her childhood. Many report (as high as 90%),
that they were discouraged from expressing emotions,
particularly anger and sadness.
Behavior Patterns
Many who self-harm use multiple methods. Cutting arms
or legs is the most common practice. Self-injurers may
attempt to conceal the resultant scarring with clothing,
and if discovered, often make excuses as to how an injury
happened.
Reasons for SI Behaviors
Self-injurers commonly report they feel empty inside,
over or under stimulated, unable to express their feelings,
lonely, not understood by others and fearful of intimate
relationships and adult responsibilities. Self-injury
is their way to cope with or relieve painful or hard-to-express
feelings, and is generally not a suicide attempt. But
relief is temporary, and a self-destructive cycle often
develops without proper treatment.
Dangers of SI Behaviors
Self-injurers often become desperate about their lack
of self-control and the addictive-like nature of their
acts, which may lead them to true suicide attempts.
The self-injury behaviors may also cause more harm than
intended, which could result in medical complications
or death. Eating disorders and alcohol or substance
abuse intensify the threats to the individual’s
overall health and quality of life.
The Diagnoses of SI Behaviors
The diagnosis for someone who self-injures can only
be determined by a licensed psychiatric professional.
Self-harm behavior can be a symptom of several psychiatric
illnesses: personality disorders (esp. borderline personality
disorder); bipolar disorder (manic depression); major
depression; anxiety disorders (esp. obsessive-compulsive
disorder); as well as psychoses such as schizophrenia.
SI Behaviors Treatment
Self-injury treatment options include outpatient therapy,
partial (6-12 hours a day) and inpatient/residential
hospitalization. When the behaviors interfere with daily
living, such as employment and relationships, and are
health or life-threatening, a specialized self-injury
hospital program with an experienced staff is recommended.
The effective treatment of self-injury is most often
a combination of medication, cognitive/behavioral therapy,
and interpersonal therapy, supplemented by other treatment
services as needed. Medication is often useful in the
management of depression, anxiety, obsessive-compulsive
behaviors, and the racing thoughts that may accompany
self-injury. Cognitive/behavioral therapy helps individuals
understand and manage their destructive thoughts and
behaviors.
Reach out to us. Recovery from addiction is just a click or a phone call away.
If the information you are looking for is not found here and you need immediate
attention you may contact us:
Addiction Treatment for adults and young adults: 1-888-387-6237
Addiction Treatment for Teens: 1-888-757-6237
http://www.inspirationsyouth.com
You may also send us e-mail.
Please keep in mind that e-mails are answered within 24 hours Monday
through Friday.
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