Increased Precautions We're Taking in Response to COVID-19
As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at San Juan Capestrano Hospital to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, on-site visitation is no longer allowed at San Juan Capestrano Hospital.

  • This restriction has been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • We are offering visitation through telehealth services so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services are being vetted and may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff has received infection prevention and control training.
  • Thorough disinfection and hygiene guidance has been provided.
  • Patient care supplies such as masks and hand sanitizer are being monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.
  • We are in communication with our local health department to receive important community-specific updates.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit https://www.cdc.gov/coronavirus/2019-ncov/index.html

Signs & Symptoms of Self-Harm

Learn more about the causes, symptoms, and effects of self-harm. Understanding what you or your loved one is going through can be the first step to getting help.

Understanding Self-Harm

Learn about self-harm

When someone deliberately inflicts pain onto him or herself, it is referred to as self-harm. Also known as self-injury or self-mutilation, these behaviors can include, but are not limited to, cutting, burning, biting, scratching, picking at skin, pulling out one’s hair, or purposely breaking one’s bones. For many, it can be difficult to comprehend why anyone would want to intentionally impose pain onto oneself, but for these individuals, the behavior serves a very precise purpose. It is likely that these individuals are suffering from some form of emotional distress or disturbances over which they feel that they cannot gain a sense of control. The act of inflicting harm onto themselves allows them to define a physical cause for their pain, while also providing them with the control they need over the negative emotions they are experiencing. However, this false sense of control will dissipate quickly, leading these individuals to partake in a cyclical pattern of devastating self-injurious behaviors. For this reason, amongst others, it is imperative that the presence of such self-harming behaviors be properly addressed through treatment so that the underlying reason for why the behaviors began can be confronted and tools for how to cope with negative emotions can be developed.

Causes and Risk Factors

Causes and risk factors for self-harm

Professionals in the field of mental health have concluded that there are a number of contributing factors that work together to elicit the onset of self-injurious behaviors. These factors are described briefly in the following:

Genetic: In the vast majority of cases, the presence of self-harming behaviors is indicative that a mental health condition exists. This means that, while the self-injuring itself is not heritable, the mental illnesses of which it can be symptomatic can be inherited from one’s family members. Especially for people who have biological relatives who are suffering from illnesses like bipolar disorder, depression, or anxiety, there is an increased risk that they will inherit the lack of impulse control that can eventually lead one to engage in these destructive behavior patterns.

Physical: The brain is made up of neurotransmitters, which are chemicals that are responsible for appropriately regulating an individual’s emotions. When these chemicals become imbalanced, an elevated susceptibility to developing a mental illness can result, of which self-harm may be a symptom.

Environmental: Certain environmental factors can play a monumental role in the onset of self-harming behaviors. When individuals are exposed to environments in which there exists much stress or chaos over which they have no control, they are at a heightened risk for beginning to self-injure. This is due in part to the fact that the act of self-mutilation is something that they can feel a sense of control over. Additionally, people who have been the victims of any type of abuse may turn to self-harm as a means of coping because, in those instances, they are in control of the pain that they feel, as opposed to having someone else inflict the pain onto them. Furthermore, this type of behavior can ensue when individuals experience various types of emotional distress yet do not have an adequate support system.

Risk Factors:

  • Personal history of mental illness
  • Family history of mental illness
  • Being the victim of abuse and/or neglect
  • Experiencing trauma
  • Lacking impulse control
  • Lacking effective coping skills
  • Losing a loved one
  • Having friends who engage in similar behaviors and encourage such acts
  • Having an inadequate support system
Signs and Symptoms

Signs and symptoms of self-harm

Because self-injury is typically a behavior that is done in private, it can be difficult to determine whether or not someone is actually partaking in such acts. However, there are some warning signs that may be present that could indicate that an individual is engaging in self-harming behaviors. Examples of these signs may include the following:

Behavioral symptoms:

  • Wearing clothes that are inappropriate for the weather (e.g. wearing pants and long-sleeved shirts despite it being warm outside)
  • Frequent absences from work or school
  • No longer participating in activities that were once enjoyed
  • Isolating oneself from family and friends
  • Picking scabs
  • Making excuses for repeated injuries

Physical symptoms:

  • Scratches
  • Scrapes
  • Bruises
  • Cuts
  • Burn marks
  • Broken bones
  • Patches of missing hair

Cognitive symptoms:

  • Derealization
  • Depersonalization
  • Inability to control impulses
  • Memory impairments
  • Concentration difficulties
  • Ongoing, pervasive thoughts about wanting to self-harm

Psychosocial symptoms:

  • Feelings of guilt and shame
  • Feelings of hopelessness
  • Feelings of helplessness
  • Feelings of worthlessness
  • Feelings of loneliness
  • Excessive levels of anxiety
  • Increased feelings of depression
  • Emotional instability
  • Emotional numbness
Effects

Effects of self-harm

Participating in self-harming behaviors will inevitably render individuals susceptible to experiencing a number of adverse consequences. Depending on the method that one uses in order to inflict harm onto him or herself, there are a vast array of physical effects that can result. Examples of such physical effects may include the following:

  • Permanent tissue damage
  • Onset of permanent weakness in certain parts of the body
  • Onset of permanent numbness in certain parts of the body
  • Anemia
  • Developing infections
  • Scarring
  • Nerve damage
  • Hemorrhaging
  • Bones that fail to heal properly
  • Vital organ damage
  • Accidental and untimely death

In addition to the negative physical ramifications that can result from self-injury, the following long-term effects can also occur:

  • Social withdrawal and isolation
  • Pervasive feelings of guilt, shame, and/or disgust with oneself
  • Development of an addiction to drugs and/or alcohol
  • Familial discord
  • Disturbed interpersonal relationships
  • Persistently decreasing sense of self-esteem and self-worth
  • Decline in occupational functioning, leading to job loss
  • Decline in academic functioning, leading to academic failure
Co-Occurring Disorders

Self-harm and co-occurring disorders

Individuals who engage in the act of self-harm are likely suffering from a mental health condition that has elicited the emotional distress that leads to the onset of such detrimental behaviors. The disorders of which self-harm is commonly cited as being symptom include the following:

  • Depressive disorders
  • Bipolar disorder
  • Generalized anxiety disorder
  • Obsessive-compulsive disorder (OCD)
  • Panic disorder
  • Social anxiety disorder
  • Posttraumatic stress disorder (PTSD)
  • Eating disorders
  • Schizoaffective disorder
  • Schizophrenia

My severe depression had taken over my life. I’m so thankful for San Juan Capestrano Hospital for giving me the strength to start living my life again to the fullest.

– Luis S.