Like many other conditions, there are warning signs associated with the act of cutting.

People who cut themselves will go to great lengths to hide the physical scars from the cutting, but there are other warning signs.

The following chart lists the most common warning signs of cutting, many of which are similar to warning signs for depression. They are:

- A change in sleep patterns, grades or school performance.

- Self-imposed isolation from friends and family.

- A change in eating habits or sudden weight gain or loss.

- Increased irritability and sadness or uncontrolled outbursts of anger.

- An inability to find pleasure in things they normally liked doing.

- Low level of concentration.

- Talking a lot about death or wanting to hurt themselves.

If you or someone you know is struggling with cutting, there are places to get help. The following is a list of local resources that can help.- Call your medical insurance company to inquire about mental health providers in your area who are covered by your insurance.Employee Assistance Program (if available under your employment benefits).- Student Assistance Programs, which are available in all seven Butler County school districts.- Primary Care Physician or mental health professional.- School nurse or guidance counselor.- Center for Community Resources, 724-431-0095.- Community Mental Health Centers. In Butler County, this is Irene Stacy Community Mental Health Center, 724-287-0791.- Outpatient Mental Health service providers.- Online resources for information include the American Academy of Child and Adolescent Psychiatry, the National Mental Health Association and the STAR Center Program at Western Psychiatric Institute and Clinic in Pittsburgh.- Pittsburgh Action Against Rape has a self-injury group and publishes a workbook for people who self-injure. They can be reached at 412-431-5665.