Which scenario exemplifies self-harm without intent to die?

The scenario that exemplifies self-harm without intent to die is when a client cuts their wrist and explicitly states that they do not want to die. This indicates that the act of self-harm is not motivated by a desire to end one's life but rather serves other purposes, such as coping with emotional distress, expressing pain, or seeking relief from overwhelming feelings.

In the context of the Columbia – Suicide Severity Rating Scale (C-SSRS), understanding the intention behind a self-harming behavior is crucial for accurately assessing suicide risk. When individuals engage in self-injurious behavior while making it clear that they do not want to die, it suggests that they may be using these behaviors as a maladaptive coping mechanism rather than a means to achieve a fatal outcome.

This differentiation is important for proper intervention strategies, as the focus may shift from crisis management and life-saving measures to addressing the underlying emotional issues that lead to such self-harming behavior.