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[female, age 18, began to think of SI at age 6 and can't remember when she began to SI, high school student]
My main method of self-injury has always been cutting, because it implies all of the components of the highest pleasure mentioned before (making myself suffer, watching blood flow and bearing extreme pain), just the extreme pain doesn't last so long unless I'm cutting all the time. My favorite is cutting within the same wound again and again, deeper and deeper, then it's getting more painful. Then reopening it next day and repeating the same all over again. That way I don't get so many scars, of which there are many anyway though. Always used a razor or several at the same time, used a knife maybe 2-3 times. Cutting along veins/arteries for more blood preferred.\n\nAnd yes, I have other method, which doesn't really imply "injury", because the result is not seen, but it brings pain nevertheless: I found many positions in which my muscles and tendons are being pulled and therefore are being stretched, and some of the positions don't require any effort or motion but can cause really strong pain. That way you can relax and concentrate on the pain completely.\n\nOther things: piercing myself with needles of different size, sometimes leaving them inside my skin for several days. The advantage is that no real scars left if you don't leave needles inside for long. I left them once for more than a month, was too deep to be healed, was hurting all the time and then got all inflamed, and the scars are left. \n\nDisadvantage: not so much blood.\n\nAlso took blood from the arteries using a syringe and drank it from the glass, perfect taste btw.

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