ABSTRACT
Self-harm and suicidal behaviour, the primary focus of this book, refers to a range of behaviours which are open to interpretation. These are discussed in detail in the following chapters. There is no single, universally agreed definition of self-harm and the term means different things to different people. Self-harm is not limited by age, gender, race, sexual orientation, education, socio-economic status or religion, and how it is recognised and managed varies across the world. This chapter explores some of the literature defining self-harm and outlines the different terminologies and classifications that are used to describe it. A section on myths and legends is included, and young people’s thoughts on the meaning of self-harm are explored. The concluding part of this chapter summarises the debate on some of the factors which may determine whether self-harm is self-destructive or suicidal. It is not the aim of this chapter to arrive at a definitive term for self-harm. This is because no single definition encompasses all situations. It is hoped that by describing the range of issues to consider when evaluating self-harm, professionals can develop strategies to meet the differing and often complex needs of young people who are suicidal or self-harming.
