Self-injury/cutting

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Complications

By Mayo Clinic staff

Self-injury can cause a variety of complications, including:

  • Worsening feelings of shame, guilt and low self-esteem.
  • Infection, either from your wounds or from sharing implements.
  • Life-threatening problems, such as blood loss if major blood vessels or arteries are cut.
  • Accidental or deliberate suicide. You may unintentionally injure yourself fatally, especially if you injure yourself while under the influence of alcohol or illegal drugs. You're also at higher risk of deliberately taking your own life.
  • Permanent scars or disfigurement.

In addition, people who self-injure are also more likely to get into car accidents.

References
  1. Wedig MM, et al. Parental expressed emotion and adolescent self-injury. Journal of the American Academy of Child and Adolescent Psychiatry. 2007;46:1171.
  2. Hewlett WA. Obsessive-compulsive disorder. In: Ebert MH, et al. Current Diagnosis and Treatment: Psychiatry. 2nd ed. New York, N.Y.: McGraw-Hill; 2008. http://www.accessmedicine.com/content.aspx?aID=3286970. Accessed May 3, 2010.
  3. Lloyd-Richardson EE, et al. Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine. 2007;37:1183.
  4. Martiniuk ALC, et al. Self-harm and risk of motor vehicle crashes among young drivers: findings from the DRIVE Study. Canadian Medical Association Journal. 2009;181:807.
  5. Klonsky ED. The functions of deliberate self-injury: A review of the evidence. Journal of Clinical Psychology: In Session. 2007;27:226.
  6. Nock MK, et al. Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts. Psychiatry Research. 2006;144:65.
  7. Factsheet: Self-injury - Warning signs. Mental Health America. http://www.nmha.org/index.cfm?objectid=C7DF983B-1372-4D20-C800C76DEFCBAE2F. Accessed May 3, 2010.
  8. Hasking PA. Brief report: Emotion regulation and coping as moderators in the relationship between personality and self-injury. Journal of Adolescence. In press. Accessed May 3, 2010.
  9. Suicidal behavior in children and adolescents. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec19/ch300/ch300h.html. Accessed May 3, 2010.
  10. Klonsky ED, et al. Self-Injury: A Research Review for the Practitioner. Journal of Clinical Psychology: In Session. 2007;63:1045.
  11. Claes L, et al. Brief report: The association between non-suicidal self-injury, self-concept and acquaintance with self-injurious peers in a sample of adolescents. Journal of Adolescence. In press. Accessed May 3, 2010.
  12. Factsheet: Self-injury. Mental Health America. http://www.nmha.org/go/information/get-info/self-injury. Accessed May 3, 2010.
DS00775 Aug. 3, 2010

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