Other closely related forms of self-injury include deeply scratching the skin with fingernails, piercing the skin, and carving symbols or words into the flesh. Additional forms of self-harm include biting the skin, burning the skin, head banging, punching, intentional hair pulling and intentional bone breaking.
Self-harm may start with the breakup of a relationship, as an impulsive reaction. It may start simply out of curiosity. For many kids, it's the result of a repressive home environment, where negative emotions are swept under the carpet, where feelings aren't discussed.
Cutting, hair pulling, and skin picking can lead to infection and scarring that requires treatment by a dermatologist or other type of physician. Self-help strategies are essential tools for managing and eliminating self-mutilating behaviors. These include: Managing stress.