On several recent occasions Sarah intentionally used cigarettes to inflict painful but non-life-threatening burns on her arms.Her behavior best illustrates

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Sarah's intentional use of cigarettes to inflict burns on herself is indicative of nonsuicidal self-injury (NSSI), which involves deliberate, self-inflicted harm that is not intended to be lethal. NSSI is often used as a coping mechanism to manage emotional distress or to feel a sense of control. Major depressive disorder and dysthymia involve persistent feelings of sadness, hopelessness, and low mood, but they do not necessarily involve self-injury. OCD involves recurrent, intrusive thoughts and compulsive behaviors that are often aimed at reducing anxiety or preventing harm, but it does not necessarily involve self-injury.

On Several Recent Occasions Sarah Intentionally Used Cigarettes to Inflict