Skip to main content

Cutting and Self-Harm

Chelsea L. Hayes, MD and Megan M. Sick, MD Reviewed 06/2018
 


BASICS

Synonyms: nonsuicidal self-injury (NSSI), deliberate self-harm, self-injurious behavior, self-mutilation, self-wounding, parasuicide, cutting 

DESCRIPTION

  • NSSI broadly defined as deliberate self-...

DIAGNOSIS

HISTORY

  • Use a nonjudgmental tone and “respectful curiosity” when interviewing patients who disclose history of self-injury.

  • Explain confidentiality and applicable limitations.

  • Address immediate...

TREATMENT

GENERAL MEASURES

  • Insufficient evidence available to make firm recommendations about the most effective forms of treatment for self-injury (4)[A]

  • Often necessary to treat underlying/comorbid ps...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Close follow-up after initial disclosure, ideally within 1 to 2 weeks

  • Establish care with a mental health professional that can offer an appropriate therapy modali...

REFERENCES

1
Cipriano A, Cella S, Cotrufo P. Nonsuicidal self-injury: a systematic review. Front Psychol.  2017;8:1946. {L-End} [View Abstract on OvidMedline]
2
Fox KR, Franklin JC, Ribeiro JD, et ...

ADDITIONAL READING

  • Matney J, Westers NJ, Horton SE, et al. Frequency and methods of nonsuicidal self-injury in relation to acquired capability for suicide among adolescents. Arch Suicide Res.  20...

CODES

ICD10

X78.1xxA Intentional self-harm by knife, initial encounter 

ICD9

E956 Suicide and self-inflicted injury by cutting and piercing instrument 

SNOMED

  • 248073004 Cutting self

  • 248061004 Self-harm

  • 24806...

CLINICAL PEARLS

  • NSSI should be viewed as a maladaptive but effective coping mechanism for intra- or interpersonal distress rather than a suicidal gesture/behavior.

  • Although not a suicidal gesture, NSSI...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×