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It is very tempting to just be cautious and send people to the hospital at the first sign of danger.

The idea is to prevent people from harming themselves or others.Patients who are reported on will inevitably feel betrayed, even if they logically can understand why the therapist chose to report.This will generally make further therapy difficult or impossible, and sometimes patients will generalize and feel that they cannot trust any therapist (not just the one who reported).If the patient is new to the therapist and there is no track record, the therapist has no way of knowing if the patient is likely to be under or over representing the degree to which they are able to keep themselves safe.Many people who self injure will report suicidal ideation and other signs that are consistent with an elevated suicide risk.

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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?

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