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For me it means immediate danger to myself - suicidal with plan and intent to carry out and/or low impulse control.
For other it may mean harming others or what sidestepped said above.
My pdoc does not consider self injury to be a crisis level event and neither do many hospitals. Unless it is severe.
Do you think you are heading that way?
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Of course it is happening inside your head. But why on earth should that mean that it is not real?
-Albus Dumbledore
That’s life. If nothing else, that is life. It’s real. Sometimes it
f—-ing hurts. But it’s sort of all we have.
-Garden State
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