Self-Abuse Pervasive In Ivy League

Study: 17 Percent Of Students Injured Themselves On Purpose

(AP) 

"Unless we start talking about it and making it more acceptable for people to come forward, it will remain hidden," Silverman said.

Some self-injurers have no diagnosable illness but have not learned effective ways to cope with life stresses, said Victoria White Kress, an associate professor at Youngstown State University in Ohio. She consults with high schools and says demand for her services has risen in recent years.

Psychologists who work with middle and high schools "are overwhelmed with referrals for these kids," said psychologist Richard Lieberman, who coordinates a suicide prevention program for Los Angeles public schools.

He said one school recently reported several fourth-graders with burns on their arms, and another seeking help for "15 hysterical seventh-grade girls in the office and they all have cuts on their arms."

In those situations, Lieberman said there's usually one instigator whose behavior is copied by sympathetic but probably less troubled friends.

Rodey, a college sophomore, said cutting became part of her daily high school routine.

"It was part of waking up, getting dressed, the last look in the mirror and then the cut on the wrist. It got to be where I couldn't have a perfect day without it," Rodey said.

"If I was apprehensive about going to school, or I wasn't feeling great, I did that and I'd get a little rush," she said.

Whitlock is among researchers who believe that "rush" is feel-good hormones called endorphins produced in response to pain. But it is often followed by deep shame and the injuries sometimes require medical treatment.

Vicki Duffy, 37, runs a Morris County, N.J., support group and said when she was in her 20s, she had skin graft surgery on her arms after burning herself with cigarettes and a fire-starter. After psychological and drug treatment, she stopped the behavior 10 years ago.

Author of the 2004 book "No More Pain: Breaking the Silence of Self-Injury," Duffy recalled being stopped on the street by a 70-year-old woman who saw her scarred arms and said, "'I used to do that."'

Rodey said she stopped several months ago with the help of S.A.F.E. (Self-Abuse Finally Ends) Alternatives treatment program at a suburban Chicago hospital. Treatment includes behavior therapy and keeping a written log to track what triggers the behavior.

Rodey said she feels "healed" but not cured "because it's something I will struggle with the rest of my life. Whenever I get really stressed out, that's the first thing I think about."