b'SELF-INJURIOUS BEHAVIOR Self-injury is sometimes called deliberate self-harm, self-mutilation, cutting, or non-suicidal self-injury. Self-injury typically refers to a variety of behaviors in which an individual intentionally inflicts harm to his or her body for purposes not socially recognized or sanctioned and without suicidal intent. Self-injury can include a variety of behaviors but is most commonly associated with intentional carving or cutting of the skin, sub dermal tissue scratching, burning, ripping or pulling skin or hair, swallowing toxic substances, self- bruising and breaking bones. Detecting self-injurious behavior can be difficult since the practice is often secretive and relatively easy to hide. Unexplained burns, cuts, scars or other clusters of similar markings on the skin can be signs of self-injurious behavior. Other signs include: inappropriate dress for season (consistently wearing long sleeves or pants in summer), constant use of wrist bands/coverings, unwillingness to participate in activities that require less body coverage (such as swimming or gym class), frequent bandages, odd or unexplainable paraphernalia (e.g., razor blades or other implements that could be used to cut or pound) and heightened signs of depression or anxiety. Creating a safe environment is critical for self-injurious adolescents or young adults, Avoid displaying shock or showing great pity. The intensely private and shameful feelings associated with self-injury prevent many fromMental Health Concerns205'