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KidsHealth > Teens > Your Mind > Mental Health > Cutting





Emma's mom first noticed the cuts when Emma was doing the dishes one night. Emma told her mom that their cat had scratched her. Her mom seemed surprised that the cat had been so rough, but she didn't think much more about it.

Emma's friends had noticed something strange as well. Even when the weather was hot, Emma wore long-sleeved shirts. She had become secretive, too, like something was bothering her. But Emma couldn't seem to find the words to tell her mom or her friends that the marks on her arms were from something that she had done. She was cutting herself with a razor when she felt sad or upset.


What Is Cutting?
Injuring yourself on purpose by making scratches or cuts on your body with a sharp object - enough to break the skin and make it bleed - is called cutting. Cutting is a type of self-injury, or SI. Cutting is more common among girls, but guys sometimes self-injure, too. People may cut themselves on their wrists, arms, legs, or bellies. Some people self-injure by burning their skin with the end of a cigarette or lighted match.

When cuts or burns heal, they often leave scars or marks. People who injure themselves usually hide the cuts and marks and sometimes no one else knows.

Self-injury is not new. It's also not a very common behavior. But lately people are talking about it more. As guys and girls hear about cutting, they may feel curious about it and why people do it. Because it seems a little bit forbidden, some younger teens may think that cutting might make them seem daring, grown up, or popular.



With all the talk about it, cutting can almost seem like the latest fad. But cutting is a serious problem.

Why Do People Cut Themselves?
It can be hard to understand why people cut themselves on purpose. Cutting is what experts call an unhealthy coping mechanism. This means that the people who do it have not developed healthy ways of dealing with strong emotions, intense pressure, or upsetting relationship problems.

There are lots of good, healthy ways to cope with difficulties, such as talking problems over with parents, other adults, or friends; putting problems in perspective; and getting plenty of exercise. But people who cut haven't developed these skills. When emotions don't get expressed in a healthy way, tension can build up - sometimes to a point where it seems almost unbearable. Cutting may be an attempt to relieve that extreme tension - it's a messed-up way of feeling in control. That's one of the reasons why younger teens are more likely to cut.

The urge to cut might be triggered by strong feelings the person can't express - such as anger, hurt, shame, frustration, or depression. People who cut sometimes say they feel they don't fit in or that no one understands them. A person might cut because of losing someone close or to escape a sense of emptiness. Cutting might seem like the only way to find relief, or the only way to express personal pain over relationships or rejection.

People who cut or self-injure sometimes have other mental health problems that contribute to their emotional tension. Cutting is sometimes (but not always) associated with depression, bipolar disorder, eating disorders, obsessive thinking, or compulsive behaviors. It can also be a sign of mental health problems that cause people to have trouble controlling their impulses or to take unnecessary risks. Some people who cut themselves have problems with drug or alcohol abuse.

Some people who cut have had a traumatic experience, such as living through violence, a disaster, or abuse. Self-injury may feel like a way of "waking up" from a sense of numbness after a traumatic experience. Or it may be a way of reinflicting the pain they went through, expressing anger over it, or trying to get control of it.

What Can Happen to People Who Cut?
Although cutting may provide some temporary relief from a terrible feeling, even people who cut agree that cutting isn't a good way to get that relief. For one thing, the relief doesn't last - the troubles that triggered the cutting remain, they're just masked over.

People don't usually intend to hurt themselves permanently when they cut. And they don't usually mean to keep cutting once they start. But both can happen. It's possible to misjudge the depth of a cut, making it so deep that it requires stitches (or, in extreme cases, hospitalization). Cuts can become infected if a person uses nonsterile or dirty cutting instruments - razors, scissors, pins, or even the sharp edge of the tab on a can of soda.

Most people who cut aren't attempting suicide. Cutting is usually a person's attempt at feeling better, not ending it all. Although some people who cut do attempt suicide, it's usually because of the emotional problems and pain that lie behind their desire to self-harm, not the cutting itself.

Cutting can be habit forming. It can become a compulsive behavior - meaning the more a person does it, the more he or she feels the need to do it. The brain starts to connect the false sense of relief from bad feelings to the act of cutting, and it craves this relief the next time tension builds. When cutting becomes a compulsive behavior, it can seem impossible to stop. So cutting can seem almost like an addiction. A behavior that starts as an attempt to feel more in control can end up controlling you.

How Does Cutting Start?
Cutting often begins on an impulse. It's not something the person thinks about ahead of time. Shauna says, "It starts when something's really upsetting and you don't know how to talk about it or what to do. But you can't get your mind off feeling upset, and your body has this knot of emotional pain. Before you know it, you're cutting yourself. And then somehow, you're in another place. Then, the next time you feel awful about something, you try it again - and slowly it becomes a habit."

Natalie, an eleventh grader who started cutting in middle school, explains that it was a way to distract herself from feelings of rejection and helplessness she felt she couldn't bear. "I never looked at it as anything that bad at first - just my way of getting my mind off something I felt really awful about. I guess part of me must have known it was a bad thing to do, though, because I always hid it. Once a friend asked me if I was cutting myself and I even lied and said 'no.' I was embarrassed."

Sometimes self-injury affects a person's body image. Jen says, "I actually liked how the cuts looked. I felt kind of bad when they started to heal - and so I would 'freshen them up' by cutting again. Now I can see how crazy that sounds, but at the time, it seemed perfectly reasonable to me. I was all about those cuts - like they were something about me that only I knew. They were like my own way of controlling things. I don't cut myself any more, but now I have to deal with the scars."

You can't force someone who self-injures to stop. It doesn't help to get mad at a friend who cuts, reject that person, lecture her, or beg him to stop. Instead, let your friend know that you care, that he or she deserves to be healthy and happy, and that no one needs to bear their troubles alone.

Cutting - The New Cool?
Girls and guys who self-injure are often dealing with some heavy troubles. Many work hard to overcome difficult problems. So they find it hard to believe that there are some teens who cut just because they think it's a way to seem tough and rebellious.

Tia tried cutting because a couple of the girls at her school were doing it. They pressured her. "It seemed like if I didn't do it, they would think I was afraid or something. So I did it once. But when I walked away, I thought about how lame it was to do something like that to myself for no good reason. Next time they asked I just said, 'no thanks, it's not for me.' "

If you have a friend who suggests you try cutting, say what you think. Why get pulled into something you know isn't good for you? There are plenty of other ways to express who you are. (Not giving in to peer pressure is one of them!)

Lindsay had been cutting herself for 3 years because of abuse she suffered as a child. She's 16 now and hasn't cut herself in more than a year. "I feel proud of that," Lindsay says. "So when I hear girls talk about it like it's a fad, it really gets to me."

Getting Help
There are better ways to deal with troubles than cutting - healthier, long-lasting ways that don't leave a person with emotional and physical scars. The first step is to get help with the troubles that led to the cutting in the first place. Here are some ideas for doing that:

1. Tell someone. People who have stopped cutting often say the first step is the hardest - admitting to or talking about cutting. But they also say that after they open up about it, they often feel a great sense of relief. Choose someone you trust to talk to at first (a parent, school counselor, teacher, coach, doctor, or nurse). If it's too difficult to bring up the topic in person, write a note.

2. Identify the trouble that's triggering the cutting. Cutting is a way of reacting to emotional tension or pain. Try to figure out what feelings or situations are causing you to cut. Is it anger? Pressure to be perfect? Relationship trouble? A painful loss or trauma? Mean criticism or mistreatment? Identify the trouble you're having, then tell someone about it. Many people have trouble figuring this part out on their own. This is where a mental health professional can be helpful.

3. Ask for help. Tell someone that you want help dealing with your troubles and the cutting. If the person you ask doesn't help you get the assistance you need, ask someone else. Sometimes adults try to downplay the problems teens have or think they're just a phase. If you get the feeling this is happening to you, find another adult (such as a school counselor or nurse) who can make your case for you.

4. Work on it. Most people with deep emotional pain or distress need to work with a counselor or mental health professional to sort through strong feelings, heal past hurts, and to learn better ways to cope with life's stresses. One way to find a therapist or counselor is to ask at your doctor's office, at school, or at a mental health clinic in your community.


Resisting the Urge to Cut
Lots of people who deal with the troubles that caused them to cut still feel the urge. So it can help to have some ideas on how to resist for those times when your emotional tension surges. First, be aware of which situations are likely to trigger your urge to cut. Make a commitment that this time you will not follow the urge, but will do something else instead. Then make a plan for what you will do instead of cutting when you feel this urge. Experts recommend these alternatives as a way to get past the urge to cut:

• rub an ice cube on your skin instead of cutting it
• drink a glass of water
• call a friend
• take a shower
• go for a walk or a run
• exercise
• watch TV
• play with a pet
• draw, scribble, or color designs on paper
• cut or rip up some paper
• listen to music that will shift your mood
• draw on the skin with a red pen in the place you might usually cut

Although cutting can be a difficult pattern to break, it is possible. Getting professional help to overcome the problem doesn't mean that a person is weak or crazy. Therapists and counselors are trained to help people discover inner strengths that help them heal. These inner strengths can then be used to cope with life's other problems in a healthy way.

Reviewed by: D'Arcy Lyness, PhD
Date reviewed: March 2005