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Accessibility

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It is important to realize if a person engages in self-injury, it is likely that they will keep their instrument of choice accessible at all times. It may be hidden somewhere on their body, such as in a pocket, sock or shoe; or in a safe place nearby such as in their car, purse or wallet. Many self-injurers find it soothing to have the implement close by. Knowing they have a coping mechanism, or an instant “quick fix” for overwhelming emotions, is comforting and makes them feel at ease.

Joey recalls keeping a lighter with him at all times. He kept several in his car for easy access, he had one in every jacket pocket, and he hid one in his shoe when he knew the others would not be available. Sara knew her mother was aware of her self-injurious behavior and that she was terribly worried about her. Accordingly, Sara always tried to hide the behavior as well as the devices that she used to self-harm. Her instrument of choice was a razor blade. She recalls hiding them everywhere; in her purse, in her folders at school, under her foot in her shoe, and even in her hair when it was pulled up in a bun.

Elaine, a 35-year-old business executive, chose glass. She carried a piece of glass in her purse so that it was always with her. That way she could even slip out of an important business meeting and excuse herself to use the restroom, purse in hand, if tensions climbed too high.

Amber had designated places where she could go to cut, and carried a knife around with her wherever she went. She had one by her bed, and one in her desk, and if she went somewhere for the weekend, a knife came with her there too.

What Every Parent Needs to Know About Self-Injury

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