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[1] Most individuals who engage in non-suicidal self-injury (NSSI) hurt themselves in more than one way.

Research indicates that self-injury occurs in approximately as many as 4% of adults in the United States.

And self-injury gradually became a ritual: Every time Amanda was in a stressful or uncomfortable situation, she would "release" the bad feelings by cutting her left arm with her nails or even with a razor blade.

When teens feel sad, distressed, anxious, or confused, the emotions might be so extreme that they lead to acts of self-injury (also called cutting, self-mutilation, or self-harm).

Most teens who inflict injury on themselves do so because they are experiencing stress and anxiety.

Services for eating disorders, alcohol/substance abuse, trauma, abuse, and family therapy should be readily available and integrated into treatment, depending on individual needs.

Successful courses of treatment are marked by: Therapy Finding Therapy Medication Paying for Care Obsessive-Compulsive Disorder (OCD) Excoriation Disorder (Skin picking or Dermatillomania) Trichotillomania (Hair Pulling) S.

Besides cutting and scratching, hitting, biting, picking at skin, and pulling out hair are some of the other ways teens use self-injury to cope with intensely bad feelings.

Sometimes teens injure themselves regularly, almost as if it were a ceremony.

In her mind, self-injury was the only way she could deal with all the dealing with stress.

A few minutes later, her feelings of hopelessness subsided.

Rates are higher among adolescents, who seem to be at an increased risk for self-injury, with approximately 15% of teens reporting some form of self-injury.

Studies show an even higher risk for self-injury among college students, with rates ranging from 17%-35%.

Self-injury behaviors can be a symptom other mental illnesses such as: personality disorders (esp.

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