Can you cut your fingernails so they are too short to hurt yourself? I know that you may just want to hurt yourself another way but if that's the way you are focused on sometimes (at least for me) getting rid of that way stops the thoughts or lets me get control. I once threw razor blades into the sewer grate that was in my yard because I was too afraid to have them thrown away where I could get at them again. Not the best thing to do but it was an emergency and it did help. My therapist currently has

I don't know. Works for me. At least for a while, sometimes longer. I think I try to make myself keep focused on the thing I got rid of as the only means to hurt myself so that I don't sit and think about new ways. If that even makes sense.