Don't know what the 'trigger' item is or does but guess it must be something to do with not getting into graphic detail about one's S/H acts. Someone pls advise. I'm getting deeper into depression and within this is the absolute NEED to S/H in order to cope with internal feelings and punish myself for being evil and having this need to hurt myself. My family also don't understand any of my mental health concerns and I have stopped trying to get thro' to them. Any way I am 47 and have been a S/H since age19,so what do i really expect of my family, myself or anyone else. It is my problem but SOMETIMES I wish it wasn't.