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The Deepest Cut


At first glance, it may be difficult to distinguish between self-injury and attempted suicide. In both cases, a person may cut, burn, or mutilate themselves. This causes physical pain and injury. However, a closer look reveals differences in intentions.


Someone who engages in self-injury is looking for a psychological release. They are looking for a distraction. They want to get away from their pain and want to feel better. In contrast, a person who attempts suicide is trying to kill themselves.

“Self-injury is prevalent among school-age children and is not an attempt to die, but an attempt to deal with strong and overwhelming emotions,” says Lisa Boesky, Ph.D., child/adolescent psychologist. She estimates that 80 percent of kids who self-injure keep it secret. They believe their parents would make them stop. Some carve or cut in discreet places, such as under their bra or underwear, to keep it secret.

The Facts

Although self-injury may provide a sense of calm and relief its only temporary. The intense emotions quickly return and are accompanied by shame and guilt. In 2011, a half million people visited emergency rooms for self-inflicted injuries, according to the U.S. Centers for Disease Control and Prevention

“Until you actually talk to someone who is self-injuring, you’re not going to know if they’re suicidal or not,” says Richard McKeon, Ph.D., chief of the Suicide Prevention Branch at Substance Abuse and Mental Health Services Administration. “Self-injury can really become quite devastating habitual behavior. It is important to not write it off as a phase, even if the youth does not become suicidal, it can be associated with very significant injury over time.” Whether a person self-injures or attempts suicide, the risk of suicide increases, so it’s important to seek professional help in either case.

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