Outlooks & Setbacks Saturdays

“The most fundamental aggression to ourselves, the most fundamental harm we can do to ourselves, is to remain ignorant by not having the courage and the respect to look at ourselves honestly and gently.” ― Pema Chödrön

Though self-harm is not a mental health disorder, it is often a symptom of other conditions, which makes understanding self-harm facts and statistics essential.

Self-harm involves a person damaging their body by cutting, burning, scratching or practicing any other behavior that results in pain or injury. Different motivators can encourage people toward self-harm, such as feeling overwhelmed or numb. Thoughself-harmis not a mental health disorder, it is a common symptom of many psychological conditions. Self-harm statistics and facts show the widespread trend of self-harm throughout the United States.

Article at a Glance:

• Self-harming behaviors include cutting, burning,andscratching oneself.
• The rates of self-harming behaviors are likely much higher than the statistics actually reported.
• Teens have the highest rates of self-harming behaviors.
• Self-harming behaviors are often co-occurring with eating disorders and substance abuse.
• Self-harm is not a mental health condition in itself, but treatment is available if self-harm is connected to drug and alcohol abuse.

Self-Injury Prevalence

Even though self-harm has been studied extensively for over a decade, findings are never entirely accurate because of the stigma and shame that still surrounds self-injury. The actual rates are likely quite higher than those currently reported.

One analysis of self-injuryacross more than 40 countries found that:

• About 17% of all people will self-harm during their lifetime
• The average age of the first incident of self-harm is 13
• 45% of people use cutting as their method of self-injury
• About 50% of people seek help for their self-harm but only from friends instead of professionals

Not only is self-harm prevalent, but rates are increasing. According toemergency room trends, there’s been a 50% increase in reported self-injury among young females since 2009.

Who Self-Harms?

While anyone can practice self-harm, rates tend to differ among certain populations:

• Adults. Aside from very young children, adults are the least likely group of people to follow through with self-injury. Only about5% of adultshave self-injured in their lifetime.
• Teens. Adolescents have the highest rate of self-injurious behaviors, with about17%admitting to self-injury at least once in their life.
• College Students. Studies find that about15%of college students report engaging in self-harm.
• Women vs. Men. While women are more likely to self-harm, males may represent at least35%of total self-injury cases. Men are more likely to underreport self-injury and have other people hurt them than women.
• Sexual Minorities.Gay and bisexual peopleare at a high risk of self-injury.Nearly halfof all bisexual females engage in self-injury.

Age of Onset

As mentioned, the average age of onset forself-injuryis 13. This age seems to align with new stressors and expectations at school and home as the child enters their teenage years. Age 13 represents a time of great physical, social and mental change and development. This time is also linked to the emergence ofmental health conditionslike anxiety and depression, which may further trigger a desire to self-harm.

Related Topic:How long does depression last?

Self-Harm Risk Factors

There is not just one factor that contributes to self-harm. Instead, there are a variety of biological and environmentalissues known to cause self-harm, including:

• Having friends or family members who self-injure
• Experiencing stressful life situations like traumatic events, family instability and sexual identity uncertainty
• Living in social isolation
• Mental health conditions, likedepression,anxietyandpersonality disorders
• Drug and alcohol use oraddiction

The more of these factors a person has, the higher their risk of self-harm.

Diagnosing Nonsuicidal Self-Injury Disorder (NSSID)

Nonsuicidal self-injury is not a diagnosable mental health condition: yet. Currently, the American Psychiatric Association (APA) lists nonsuicidal self-injury as one of the “Conditions for Further Study” in the most recent Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This designation implies the group may include the condition in future versions of the text.

Nonsuicidal self-injury involves symptoms like:

• Engaging in self-harm on five or more days over the last year
• Self-injuring to find relief from an unwanted feeling, solve a relationship conflict or create a desired feeling
• Self-harm involves unwanted feeling like depression, anxiety or anger, an intense focus on completing the behavior and frequent thoughts of self-injury

Since self-injury is not currently an official mental health diagnosis, a medical or mental health professional will ask the person questions about the behavior and the purpose of the behavior to assess the situation.

Rates of Self-Harm and Co-Occurring Conditions

Self-harm often co-occurs with mental health disorders. Historically, self-harm was thought to be directly connected toborderline personality disorder. Now, it’s understood that the behavior can be associated with many conditions, like:

• Eating disorders
• Substance use disorders
• Depression
• Anxiety

Onestudy foundthat of people who self-injure:

• 20% have personality disorders
• 13.5% have adjustment disorders
• 11% have mood disorders, like depression or bipolar disorder

Addition research shows that about55%of people who self-harm have eating disorders.

Although the conditions may overlap, nonsuicidal self-injury is often not linked to:

• Obsessive-compulsive disorder(OCD)
• Excoriation(skin-picking) disorder
• Trichotillomania(hair-pulling disorder)

Self-Harm and Suicide

Although an act of self-harm is different from a suicide attempt, there is a strong association between self-injury and suicide attempts. It seems that as incidents of self-harm increase, the likelihood of suicide attempts also increase.

People who engaged in 20 or more self-harm behaviors are about3.5 times more likely to attempt suicidecompared to those who have fewer self-injury actions.

Self-Harm Prognosis

Establishing a self-harm prognosis is based on:

• Frequency of self-harm
• Intensity of self-harm
• Duration of self-harm
• Presence of other mental health symptoms or conditions
• Available professional or social support

The APA reports in the DSM-5 that self-injury tends to peak by the time a person is 29, so the prognosis improves as age increases.

Statistics on Self-Harm Treatment

Since self-harm is not a mental health condition of its own, tracking treatment statistics is challenging. What experts do know is thattreatmentmust focus on the factors that trigger self-harm, as well as the self-harm itself.

For example, if yourself-harm is connected to substance use, getting help from The Recovery Village could reduce self-harm as you find recovery from alcohol and other drugs.Call todayto speak to a representative about available treatment options for self-harm and substance use disorders.

Self Harm & Self Sabotage

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