I would think that family/friends should always be concerned when they know that we have harmed ourselves. To me, that feeling of anxiety, submersion, and giving up can always lead to further impulses.
When I SI I lose the ability to think coherently sometimes. I zone out and become fixated on punishing myself......which can lead to the other.
Why can't or won't people understand that punishment against oneself should always be a source of concern?
Courage is fear that has said its prayers.
Dorothy Bernard
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