Eighty percent of self-harm involves stabbing or cutting the skin with a sharp object.[5][29][30] However, the number of self-harm methods are only limited by an individual's inventiveness and their determination to harm themself; this includes, but is not limited to burning, self-poisoning, alcohol abuse, self-embedding of objects, hair pulling, bruising/hitting ones self, knowingly abusing over the counter or prescription drugs, and forms of self-harm related to anorexia and bulimia.[5][30] The locations of self-harm are often areas of the body that are easily hidden and concealed from the detection of others.[31] As well as defining self-harm in terms of the act of damaging the body, it may be more accurate to define self-harm in terms of the intent, and the emotional distress that the person is attempting to deal with.[30] Neither the DSM-IV-TR nor the ICD-10 provide diagnostic criteria for self-harm. It is often seen as only a symptom of an underlying disorder,[10] though many people who self-harm would like this to be addressed.[26] A formal proposal is currently under review (2010) to include Non-Suicidal Self-Injury as a distinct diagnosis in the forthcoming 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).[32] |
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