Young people who cut themselves may do so for reasons that go beyond
diagnosis. Relevant processes include responses to trauma, coping, emotion
regulation and cultural identification. Some clinicians regard those who
self-harm negatively or consider one therapeutic approach to be suitable for
all. This article explores the possible mechanisms involved when young
people cut themselves and discusses therapeutic approaches in the light of
these. Clinicians and researchers are encouraged to refine, develop and
research interventions for young people who self-harm by cutting.