Likewise, tissue damage from drug abuse or eating disorders is not considered self-harm because it is ordinarily an unintended side-effect but context may be needed as intent for such acts varies. While earlier usage included interfering with wound healing, excessive skin-picking, hair-pulling, and the ingestion of toxins, current usage distinguishes these behaviors from self-harm. Other forms include scratching, hitting, or burning body parts. The most common form of self-harm is using a sharp object to cut the skin. Other terms such as cutting, self-injury, and self-mutilation have been used for any self-harming behavior regardless of suicidal intent. This is most commonly regarded as direct injury of one's own skin tissues usually without a suicidal intention. Self-harm is intentional behavior that is considered harmful to oneself. Healed scars on the forearm from prior self-harm Deliberate self-harm (DSH), self-injury (SI), self-poisoning, nonsuicidal self-injury (NSSI), cutting
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