Self-mutilation Symptoms & Diagnosis

Symptoms

The symptoms of self-mutilation vary. The most common symptoms include:

Cutting of skin with a sharp object (most common)
Skin carving or burning
Self-punching or scratching
Needle sticking
Head banging
Eye pressing
Finger, lips, or arm biting
Pulling out one's hair
Picking at one's skin

Rarely, in very severe cases, self-mutilation can include:

Broken bones
Amputation
Castration
Suicide

Diagnosis

Self-mutilation can be difficult to diagnose. People who self-mutilate often feel guilty and ashamed about their behavior and may try to hide it. A doctor may first see the physical harm caused by self-mutilation. To be diagnosed, symptoms should meet the following criteria:

Preoccupation with physically harming oneself
Inability to resist self-injurious behavior resulting in tissue damage
Increased tension before and a sense of relief after self-injury
Having no suicidal intent in the self-mutilation

To make an accurate diagnosis, the psychologist or psychiatrist will assess other conditions, like personality or mood disorders, and whether there is suicidal intent.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. Copyright © 2025 EBSCO Publishing All rights reserved.