The most common form of self-injury is actually cutting yourself. There are many reasons this may occur. One is the feeling of guilt over a certain event that happened recently or even years back. Sometime stress is so intense then the person's only resort is to divert it into physical pain. Another reason could be for mere pleasure. The episode of mania causes the patient to have excessive energy and forcing it out through self-injury is one way to prove it.
Another way to punish one self is by wearing inappropriate clothing for a particular season or climate. One reason why a patient wears thick clothing during warm weather is to conceal an object or possible even just themselves, shielding them from the world.
In some cultures, piercing and tattooing are forms of spiritual conversion. Other people on the other hand consider these acts as self-expression. While these reasons are widely acceptable to many, piercing and tattooing can still be considered as ways of injuring one's self. Sometimes, these self-mutilations (others call it transformation) become so addictive and so uncontrollable that they become two entirely different problems.
A patient with one or more painful experiences of abuse can reenact those times if they remain unprocessed or untreated. There are two possible reasons why a person does this. One is to let others know that they are still hurting, and the other is to let him or her experience the pain all over again as a gesture of guilt and unforgiveness.
These acts are clear manifestations of the intention to harm and can lead to suicide. If you know someone who is depressed and does this, carefully approach the patient and suggest that he or she should consult a psychiatrist. If in case you are the one who is practicing these acts, recognize your condition and seek psychological treatment immediately.
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