To clarify, the websites I've researched this information from, say that this encompasses burning yourself, pinching yourself, scratching your skin, undereating or overeating and drug use. If I am completely honest, I would say that even the otherwise nicest and kindest people I know have seemed horrified, repulsed or disgusted when i have spoken vaguely about it but not in specific details about how I have struggled with SH urges since i was in my early teens as a way of trying to find a form of release from otherwise very intense and overwhelming anxiety. If the nicest and otherwise most considerate people in my life arent comfortable with how my skin looks that makes me get the sense that no one will be okay with it