Self harm or self injurious behavior is not well understood and has not been extensively studied. Self harm means repetitive, deliberate, direct, destruction of body tissue without a conscious suicial intent. It has been referred to as para-suicide' 'self-injury, 'áttempted sucide, deliberate self harm, self multilation'etc, but no single word is wholly satisfactory. It is more common in females. A variety of psychological factors play role in individuals who engage in self- harm. There is risk of repletion and suicide in these people. Treatment is mainly psychological and social. Drugs are required for a small minortiy of patients.