Date: July 12 2020
Summary: Indirect self harm definition and associated examples
Keywords: ##zettel #self #harm #indirect #archive
Indirect self-harm (ISH) are non-suicidal actions that individuals take to physically mistreat or abuse themselves. It does not immediately lead to direct bodily damage . Examples of ISH are eating disorders, remaining in physically abusive relationships, extended abuse of substances, and flippant behavior .
Indirect self-harm (ISH) is conceptually different from direct self-harm (DSH). Generally, ISH is an expression of centering oneself. It is a way to control one's feelings or to exact punishment.  As such, ISH can be a coping mechanism to handle emotional anguish, rage and frustration.  Some use it as a means to lower tension .
Eating disorders have the highest mortality rate of all mental illnesses.  For women aged 15-24, mortality rates related to Anorexia are 12 times greater than other mortality rates.  As such, the eating disorder community is generally the most prolific indirect self-harm community. A majority of the literature about indirect self-harm literature is centered around it –
Zelko, Jacob. Indirect Self Harm. https://jacobzelko.com/07122020174529-indirect-self-harm. July 12 2020.
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