Bill Of Rights For People Who Self Harm

Preamble
An estimated one percent of Americans use physical self-harm as a way of coping with stress; the rate of self-injury in other industrial nations is probably similar. Still, self-injury remains a taboo subject, a behavior that is considered freakish or outlandish and is highly stigmatized by medical professionals and the lay public alike.

Self-harm, also called self-injury, self-inflicted violence, or self-mutilation, can be defined as self-inflicted physical harm severe enough to cause tissue damage or leave visible marks that do not fade within a few hours. Acts done for purposes of suicide or for ritual, sexual, or ornamentation purposes are not considered self-injury. This document refers to what is commonly known as moderate or superficial self-injury, particularly repetitive SI; these guidelines do not hold for cases of major self-mutilation (i.e., castration, eye enucleation, or amputation).

Because of the stigma and lack of readily available information about self-harm, people who resort to this method of coping often receive treatment from physicians (particularly in emergency rooms) and mental-health professionals that can actually make their lives worse instead of better. Based on hundreds of negative experiences reported by people who self-harm, the following Bill of Rights is an attempt to provide information to medical and mental-health personnel. The goal of this project is to enable them to more clearly understand the emotions that underlie self-injury and to respond to self-injurious behavior in a way that protects the patient as well as the practitioner.

The Bill of Rights for Those who Self-Harm

• The right to caring, humane medical treatment.
• The right to participate fully in decisions about emergency psychiatric treatment (so long as no one's life is in immediate danger).
• The right to body privacy.
• The right to have the feelings behind the SI validated.
• The right to disclose to whom they choose only what they choose.
• The right to choose what coping mechanisms they will use.
• The right to have care providers who do not allow their feelings about SI to distort the therapy.
• The right to have the role SI has played as a coping mechanism validated.
• The right not to be automatically considered a dangerous person simply because of self-inflicted injury.
• The right to have self-injury regarded as an attempt to communicate, not manipulate.

Bill Of Rights For People Who Self Harm

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© 1998-2001 Deb Martinson. Reprint permission granted with proper credit to author.

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