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What is Self-injurious Behavior?

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Summary

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Self-injurious behavior is where a person physically harms themselves. It’s sometimes called self-harm. This might be head banging on floors, walls or other surfaces, hand or arm biting, hair pulling, eye gouging, face or head slapping, skin picking, scratching or pinching, forceful head shaking.

Frequently Asked Question

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Why do people engage in self-injurious behavior?

People may engage in self-injurious behavior to cope with difficult emotions or situations, but it is not a healthy or safe way to deal with those emotions and can lead to serious physical and mental health problems.

What are the warning signs of self-injurious behavior?

Warning signs of self-injurious behavior can include unexplained cuts or bruises, wearing long sleeves and pants in hot weather, and withdrawing from social activities.

What are the long-term effects of self-injurious behavior?

The long-term effects of self-injurious behavior can include permanent physical scarring, infections, and potential nerve or tissue damage, as well as mental health issues like depression and anxiety.

Scientific Definition

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Self-injurious behavior, or SIB, is when a person intentionally hurts themselves in a way that causes physical harm. This could include cutting, burning, hitting or biting themselves, or other forms of self-harm. People engage in self-injurious behavior for different reasons, but it is often a way to cope with difficult emotions or situations like stress, anxiety, or trauma. SIB is not a healthy or safe way to deal with these emotions and can lead to severe physical and mental health problems. SIB can be a sign that someone is struggling and needs help. It is essential to talk to a trusted adult, like a teacher, parent, or counselor, if you know someone who is engaging in self-injurious behavior. There are several resources and treatments available to help people learn healthier ways to cope with their emotions and stop engaging in self-harm.

Treatment to Help with the Symptom Self-injurious Behavior

Treating self-injurious behavior requires a comprehensive approach to address underlying factors. Therapeutic interventions, medication, supportive environments, skill-building, and safety planning are key components.

  • Psychotherapy (CBT, DBT): Develop healthy coping skills and emotional regulation strategies.
  • Medication: Address underlying mental health conditions.
  • Supportive environments: Provide a nurturing space through family therapy or support groups.
  • Skill-building interventions: Teach emotional regulation, problem-solving, and effective communication.
  • Safety planning: Develop alternative strategies and resources during distressing moments.

With proper treatment and support, individuals can experience significant improvement in self-injurious behavior. Through therapy, skill-building, and a supportive environment, healthier coping mechanisms can be learned, leading to overall well-being.

Conditions Associated with Self-injurious Behavior

Self-injurious behavior involves intentional self-harm without suicidal intent. Certain conditions are commonly linked to this behavior. This includes:

  1. Borderline Personality Disorder (BPD): Emotional instability and self-image issues in BPD can lead to self-injury as a coping mechanism.
  2. Autism Spectrum Disorder (ASD): Individuals with ASD may engage in self-injurious behavior to communicate or manage sensory overload.
  3. Depression and Anxiety Disorders: Self-injury can be a coping strategy for overwhelming emotions and anxiety.
  4. Eating Disorders: Self-injurious behavior may accompany eating disorders as a way to punish or cope with guilt and shame.
  5. Post-Traumatic Stress Disorder (PTSD): Self-harm can help individuals with PTSD manage distressing memories and regain control.

Self-injurious behavior is commonly associated with conditions like BPD, ASD, depression, anxiety disorders, eating disorders, and PTSD. Recognizing these associations is crucial for providing appropriate support and interventions.

This post was originally published on Feb. 15, 2023. It was updated on Jan. 22, 2024.