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Created with Fabric.js 1.4.5 A. In the last year, the individual has, on 5 ormore days, engaged in intentional self-inflicted damage, with the expectation that theinjury will lead to only minor or moderatephysical harm (i.e. there is no suicidal intent).Note: The absence of suicidal intent haseither been stated by the individual or can beinferred by the individual’s repeatedengagement in a behavior that the individualknows, or has learned, is not likely to result indeath.B. The individual engages in the self-injuriousbehavior with one or more of the followingexpectations: 1. to obtain relief from a negative feeling or cognitive state 2. to resolve an interpersonal difficulty 3. to induce a positive feeling state Note: the desired relief or response is experienced during or shortly after the self- injury, and the individual may display patterns of behavior suggesting a dependence on repeatedly engaging in it.C. The intentional self-injury is associatedwith at least one of the following: 1. interpersonal difficulties or negative feelings or thoughts, occurring in the period immediately prior to the self-injurious act 2. prior to engaging in the act, a period of preoccupation with the intended behavior that is difficult to control 3. thinking about self-injury that occurs frequentlyD. The behavior is not socially sanctioned.E. The behavior or its consequences causeclinically significant distress or interference ininterpersonal, academic, or other importantareas of functioning.F. The behavior does not occur exclusivelyduring psychotic episodes, delirium,substance intoxication, or substancewithdrawal; is not part of a pattern ofrepetitive stereotypies (in individuals with aneurodevelopmental disorder); and is notbetter explained by another mental disorderor medical condition. DSM-V Diagnostic Criteria
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