Self-Harm (Cutting): Risks, Consequences & Getting Help

Immediate Physical Risks

• Hemorrhage (radial/ulnar artery, femoral if thigh)
• Tendon/nerve laceration → permanent functional loss
• Infection (cellulitis, sepsis, tetanus)
• Compartment syndrome (deep forearm/leg cuts)
• Airway compromise (neck)

Long-Term Sequelae

• Scarring (hypertrophic, keloid, contracture)
• Chronic neuropathic pain
• Body image distress

Psychological Context

• Non-suicidal self-injury (NSSI) — emotion regulation, self-punishment, dissociation relief
• Strong association with BPD, depression, anxiety, PTSD, eating disorders
• ↑ Suicide risk (NSSI is independent predictor)

Immediate Help

• 988 Suicide & Crisis Lifeline (US) — call/text 988
• Crisis Text Line: Text HOME to 741741
• International: findahelpline.com
• Emergency: 911 (US) / local emergency number

Treatment

• DBT (gold standard for NSSI/BPD)
• CBT, MBT, EMDR
• Medication for comorbid disorders
• Harm reduction: sterile supplies, wound care education

You matter. Help is available 24/7.