HOPE - The Issues - Self Injury

Who engages in self-injury?

  • There is no simple portrait of a person who intentionally injures him/herself. This behavior is not limited by gender, race, education, age, sexual orientation, socio-economics, or religion. However, there are some commonly seen factors:
  • Self-injury more commonly occurs in adolescent females.
  • Many self-injurers have a history of physical, emotional or sexual abuse.
  • Many self-injurers have co-existing problems of substance abuse, obsessive-compulsive disorder (or compulsive alone), or eating disorders.
  • Self-injuring individuals were often raised in families that discouraged expression of anger, and tend to lack skills to express their emotions.
  • Self-injurers often lack a good social support network.

What are the types of self-injury?

The most common ways that people self-injure are:

  • Cutting
  • Burning (or “branding” with hot objects)
  • Picking at skin or re-opening wounds
  • Hair-pulling (trichotillomania)
  • Hitting (with hammer or other object)
  • Bone-breaking
  • Head-banging (more often seen in autistic, severely retarded or psychotic people)
  • Multiple piercing or multiple tattooing may be a kind of self-injury, especially if pain or stress relief is a factor.