If I speak to a therapist about my self-harming, will s/he be obligated to report my self-injury in the same way as s/he would be obligated to report issues related to suicide?I have attempted suicide in the past (5-6 years ago) and while I’m depressed and struggle with anxiety, I have no plans to attempt suicide.Sometimes temporary hospitalization is really necessary for the simple containment and medication reset it can provide, but the cost of that is very high indeed if patients lose trust in the safety of the therapy environment.The need to preserve a fragile trust, which is in the long term healing interest of the patient, is the reason why more reporting does not occur.I’m a 27-year-old woman who has struggled with self-injury (cutting, burning) since early childhood, when I experienced physical, mental and sexual abuse.
Self injury is a very different animal than Suicide, but this distinction is not well understood by all therapists.
What are a therapist’s obligation regarding reporting a clients’ problems with self-injury? but please, I’m pretty much begging you to answer this one. The exact definition of what is reportable varies from state to state, but generally has to do with the state’s desire to prevent people from harming themselves or others.
Abuse of other people is almost always a reportable issue no matter what age the victim may be.
Especially new and relatively inexperienced therapists, and therapists who are feeling the need to be more rather than less cautious may mistake self-injury for suicide and pull the trigger on reporting.
If you think about the situation from the perspective of a therapist, the temptation to report when someone tells you they are engaged in a risky and potentially lethal set of behaviors such as self-injury is very high.
I’m just concerned that all of these factors together will result in any therapist I work with wanting to hospitalize me. Self injury falls in a sort of gray area in between what is reportable and what isn’t. to be very clear, what I have to say here applies to the United States of America only; other countries will have different rules in place.