What is self-injury?
Self-injury (or sometimes called "self-mutilation") is the act of attempting to alter a mood state through inflicting physical harm to one's self. In other words, it is when an individual hurts themselves to release some sort of distress (or negative stress). To deal with overwhelming stress, one may act through one or more of the self-injurious behavior including carving, scratching, branding, marking, burning, biting, bruising, hitting, and pulling the skin and the hair. The most common seen behavior are cutting, burning, and head-banging.

So why do people self-harm?
People self harm for many kinds of reasons. Individuals sometimes feel as if they cannot handle the overwhelming stress that they tend to hurt themselves as a way to release. Physical pain gives them a way to release the pain they feel inside. Instead of crying out for help, the physical evidence shows the pain they are experiencing. Some people who are SI (or self-injurers) self mutilate as a way to get attention. But although it may be true for some individuals, it is often more personal. Some cutters have experienced something in their life that they don't know how to handle. Some major examples are: child abuse, domestic violence, rejection, or oppression. People, who don't cut themselves, don't know what it's like to be a cutter. Cutting is a way for people to feel alive. There's some sort of relief in seeing blood and feeling the physical part of one's body hurting. It is about control, power, and the choice to keep something private. Instead of bottling up all the feelings inside, SI express it through scars, cuts, and burns.

How do I know someone is hurting themselves?
It is very difficult to identify self-harmers. They can be anyone or any person around you. Individuals who self- mutilate usually tend to keep their injuries private. They will do everything to hide their scars. Some signs include:

• Unexplained injuries including cuts or burns
• wearing full clothing even in hot weathers
• spending full time locked in one place (ie bathroom or bedroom)
• being isolated

What if I'm feeling like I want to hurt myself or I know someone close to me who cuts?
It can be very emotional for you and the cutter to talk about their injuries. You must be understanding and be willing to listen to the reasons why they choose to self-mutilate. It can be a very sensitive topic for them so you must allow them to have their space.
People who harm themselves don't know how to cope with their stress in a heathy manner. To help a self-injurer, they must agree to help themselves first. The focus of this task is to help reduce or control the amount of self-harm a person does on themselves. Forcing a person to stop immediately may cause an additional increased stress on the self-mutilator.

• use a red pen to mark yourself to replace the actual cutting.
• rub ice on your body.
• wear a rubber band and flick it when you feel the need to cut.
• Exercise.
• Keep a journal or write your feelings down and rip it up.
• Talk to someone.

Sometimes self-mutilation can be taken to higher levels. It can lead up to suicide or suicidal thoughts and feelings. It is very important to let an adult know when someone's life is in jeopardy. Get help. When self- mutilation reaches to this extent, often the patient will be hospitalized to get help.