title: [Self-harming behaviour].
abstract: To gain a better understanding of self-harm, a 28-year-old female patient and a 19-year-old female patient with self-harming behaviour are presented. The first patient refused treatment of cut wounds when the doctor enquired about the reason for self-harm. The second patient was referred for mental health care. These cases illustrate the complexity of this behaviour for the patient and the caregiver. Self-harm is often a symbol of underlying problems and serves multiple psychological functions. It is mostly used by patients to cope with unbearable emotions for which they have no other solution. The self-harm invokes different feelings in caregivers which tend to influence the attitude of the caregiver towards the patient. It is very important that caregivers are aware of their feelings and use them professionally. People who self-harm should not be judged, but treated respectfully and attention should be paid to their suffering.
authors.affiliation: Palier, Centrum Intensieve Behandeling, Den Haag, The Netherlands. n.kool@palier.nl
authors.forename: Nienke
authors.initials: N
authors.lastname: Kool
authors.forename: Wim
authors.initials: W
authors.lastname: Pollen
authors.forename: Berno
authors.initials: B
authors.lastname: van Meijel
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010287:Parent-Child Relations; D018570:Risk Assessment; D016728:Self-Injurious Behavior / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control / Q000523:psychology*; D055815:Young Adult