Self-Injury
SELF-INJURY
Your Questions Answered
Romeo Vitelli
Q&A Health Guides
Copyright 2018 by ABC-CLIO, LLC
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, except for the inclusion of brief quotations in a review, without prior permission in writing from the publisher.
Library of Congress Cataloging-in-Publication Data
Names: Vitelli, Romeo, author.
Title: Self-injury: your questions answered / Romeo Vitelli.
Description: Santa Barbara, California: Greenwood, an imprint of ABC-CLIO, LLC, [2018] | Series: Q&A health guides | Includes bibliographical references and index.
Identifiers: LCCN 2017036172 (print) | LCCN 2017051014 (ebook) | ISBN 9781440854453 (ebook) | ISBN 9781440854446 (alk. paper)
Subjects: LCSH: Self-mutilationDiagnosisPopular works. | Self-mutilationTreatmentPopular works. | Self-mutilationPreventionPopular works.
Classification: LCC RC552.S4 (ebook) | LCC RC552.S4 V58 2018 (print) | DDC 616.85/82dc23
LC record available at https://lccn.loc.gov/2017036172
ISBN: 978-1-4408-5444-6 (print)
978-1-4408-5445-3 (ebook)
22 21 20 19 18 1 2 3 4 5
This book is also available as an eBook.
Greenwood
An Imprint of ABC-CLIO, LLC
ABC-CLIO, LLC
130 Cremona Drive, P.O. Box 1911
Santa Barbara, California 93116-1911
www.abc-clio.com
This book is printed on acid-free paper
Manufactured in the United States of America
This book is dedicated to my two sisters, Sue and Nancy, for their support.
It is also dedicated to all of my self-harming clients, both in the
prison system and living in the community, and I thank you for the
insight you provided. May this book help others find a way to move
past their self-harming and really live their lives.
Contents
All of us have questions about our health. Is this normal? Should I be doing something differently? Whom should I talk to about my concerns? And our modern world is full of answers. Thanks to the Internet, theres a wealth of information at our fingertips, from forums where people can share their personal experiences to Wikipedia articles to the full text of medical studies. But finding the right information can be an intimidating and difficult tasksome sources are written at too high a level, others have been oversimplified, while still others are heavily biased or simply inaccurate.
Q&A Health Guides address the needs of readers who want accurate, concise answers to their health questions, authored by reputable and objective experts, and written in clear and easy-to-understand language. This series focuses on the topics that matter most to young adult readers, including various aspects of physical and emotional well-being as well as other components of a healthy lifestyle. These guides will also serve as a valuable tool for parents, school counselors, and others who may need to answer teens health questions.
All books in the series follow the same format to make finding information quick and easy. Each volume begins with an essay on health literacy and why it is so important when it comes to gathering and evaluating health information. Next, the top five myths and misconceptions that surround the topic are dispelled. The heart of each guide is a collection of questions and answers, organized thematically. A selection of five case studies provides real-world examples to illuminate key concepts. Rounding out each volume are a directory of resources, glossary, and index.
It is our hope that the books in this series will not only provide valuable information but will also help guide readers toward a lifetime of healthy decision making.
I would like to thank the various researchers and therapists whose efforts helped make this book possible. Thanks also go to Maxine Taylor of ABC-CLIO and their excellent support staff as well as those colleagues of mine who were kind enough to review sections of this book and provide helpful suggestions on how it could be improved.
My body is a journal in a way. Its like what sailors used to do, where every tattoo meant something, a specific time in your life when you make a mark on yourself, whether you do it yourself with a knife or with a professional tattoo artist.
Johnny Depp
In talking about the series of scars still visible along one of his arms, actor Johnny Depp remains candid about the self-cutting that was once part of his life. And the cutting didnt just take place during the dark times. Good times, bad times, it didnt matter. There was no ceremony. It wasnt like Okay, this just happened, I have to go hack a piece of my flesh off. Depp along with other celebrities such as Angelina Jolie, Megan Fox, Amy Winehouse, and Drew Barrymore are coming forward with their stories of overcoming self-harm like never before.
But this is just the tip of the iceberg in many ways. Because most people who engage in nonsuicidal self-injury (self-harm for short) prefer to stay hidden, we will likely never know how common it really is or how much of a health problem it has become in recent years. But there certainly has been a renaissance of interest in self-harm these past few years with online communities, telephone support lines, websites, and support organizations in countries around the world (many of which are included in the Directory of Resources). Despite this renewed interest, it is more important than ever that self-harmers be provided with accurate information so that they can get the help they need.
Though self-harm can occur at any age, most self-harmers tend to be adolescents and young adults, with surveys suggesting as many as 1224 percent having harmed themselves at some point and 68 percent or more reporting chronic self-injuring that can last well into adulthood. And self-harming behavior can be found in every culture and in every period of our history.
Though most self-harm attempts involve cutting, the sheer range of different ways people can engage in self-harm can be mind-boggling. While treatment is usually available, the shame and guilt surrounding self-harm often mean that people harming themselves are unlikely to seek help or even medical treatment for their self-harm attemptsat least until the injuries become too severe to hide.
With the growing awareness of how common self-harm really is, health organizations around the world are mobilizing to provide better treatment options for self-harmers and their families. Unfortunately, the misconceptions about self-harming, often spread by well-meaning friends and family members, as well as through the Internet, can add to the burden many self-harmers face.
Self-Injury: Your Questions Answered debunks some of the misconceptions about self-harm and discusses how damaging these widely held beliefs can be. The book answers many of the most common questions people are likely to ask about self-harm and is broken down into different sections to help readers focus on what is most important to them. Sections include General Information; Causes and Risk Factors; Culture, Media, and Self-Injury; as well as Assessment, Treatment, Prevention, and Life after Self-Injury. Along with case studies exploring different aspects of self-harm, a Directory of Resources is also provided for people seeking additional information.