Spectrum of Self-Harm

The Spectrum of Self-Harm Cutting, scratching, picking, scraping, scalding Inserting objects into the skin or into orifices Swallowing objects, eating objects Swallowing toxic or harmful substances Hitting self with an object, fist, or against something Pulling out hair, cutting hair off, shaving Washing or scrubbing harmfully – Brillo pad, wire brush etc. Severing limbs, genitals Self – strangling Abuse of alcohol, drugs, solvents; smoking – nicotine and other substances; drug overdoses Starving, bingeing, vomiting, compulsive eating, anorexia, bulimia, overeating Genital mutilation, mutilation of breasts etc. Engaging in dangerous sexual behaviour or unwanted sex Staying in abusive or unsatisfactory relationships ( N.B. many have little choice) Self-isolation Excessive use of sun-beds, not using sun tan lotion, sunburn

The Spectrum of Self-Harm Excessive risk taking, putting yourself in dangerous situations Over exercise Driving too fast or when drunk Not looking after your health: eating poorly; not getting enough exercise or over exercising, not getting enough relaxation, rest; not keeping warm, not taking care of ailments etc. Getting into fights; getting into trouble with the police Gambling, habitual over spending Financial crisis – shoplifting etc. Criminal behaviour Rocking Being ‘selfless’ – consistently putting one’s own needs last Guilt, worry, self-denigration, expecting too much of oneself Habitual overwork, over ambition, under – ambition Insulin abuse/Abuse of prescription drugs Draining blood – with a shunt Body piercing / Tattooing Biting nails to the quick