Understanding Self-Injurious Behavior in Adolescents and Young Adults and its Remedies
Self-injury is defined as "A deliberate, intentional injury to one’s own body that causes tissue damage or leaves marks for more than a few minutes which is done to cope with an overwhelming or distressing situation” (Cutter, Jaffe & Segal, 2008). Methods of self-injury vary from person to person, but the most common form of self-injury is by cutting. By using a sharp object such as a razor blade, self-inflicted cuts are made on the skin. Other types of self-injury include, but are not limited to, the act of self burning , excessive picking at healing wounds, pulling out hair, and digging nails into the skin. “Although cutting is one of the most common and well documented forms, over sixteen forms have been documented”(Whitlock, Eckenrode, & Silverman, 2006 ). When most people cut themselves, there is often a ritualistic aspect involved. This can be in where they hurt themselves on their body (ie. on the underside of their arms, or their stomach) the environment in which they choose to hurt themselves (ie. a bathroom, or bedroom) or the time of day in which they most often will self-injure. The individual may choose to play certain music during the time they are hurting themselves. Many even clean their tools a certain way before and after hurting themselves. After they hurt themselves, the individual will often bandage it a specific way, write about it in a journal or possibly, just go to sleep. The act of cutting oneself can become just as ritualistic and necessary to the individual as brushing their teeth or cleaning their room. At some points, those who self-harm may need to self-harm, but is not in a safe environment to do so, or does not have their tools on hand. When this occurs, they will often find an alternative place to cut themselves, such as a bathroom stall. They will use a different object to hurt themselves, such as a safety pin or push-pin, and they will skip their ritualistic procedure all together (Alderman, 1997).