ABSTRACT
This chapter describes a definition of self-harm and its complexities. It explains why some individuals harm themselves, the associated factors and the methods used. Self-injury is an age-old and universal practice, and ceremonies involving blood, cutting and body modification appear in most cultures and religions. The use of pain and blood-loss often serve some social function at times of loss or bereavement. The complexity of why individuals self-harm, and whether or not it is considered self-harm within their society, is confused by an array of terminology and lack of breadth in definition. Terminology includes self-injury, mutilation, and para-suicide and deliberate self-harm. Individuals self-harm for many reasons; there is no single explanation that fits all, just as the initial trigger for the behavioural pattern is unique. Often someone may have an accidental injury and the relief they experience is such that, when distressed, they recall the relief and self-harm.
