Scars

Fresh scratches or cuts

Bruises

Patches of missing hair

Mood swings

Depression

Increased anxiety, especially when unable to self-injure

Guilt

Shame

Disgust

Wearing long pants and long-sleeved shirts, even on hot days

Brushing off injuries as frequent “accidents” or as a result of being clumsy

Needing to spend a lot of time alone

Unstable friendships and romantic relationships

Keeping sharp objects or implements of self-injury on hand

Withdrawing from once-enjoyed activities

Unpredictable, impulsive behaviors

Ongoing questions about personal identity

Helplessness

Hopelessness

Worthlessness