Self-Mutilators Anonymous (SMA) is a Twelve-Step program for people who wish to recover from physical self-mutilation. They state that, “By physical self-mutilation, we mean deliberately causing injury to our bodies without the intention of ending our lives. This includes cutting ourselves, tearing out body hair, burning ourselves, scratching until blood is drawn, reopening wounds, swallowing objects, banging our heads against the wall, breaking bones or teeth, tearing or severely biting cuticles or nails, chewing the inside of the mouth, compulsive body-tattooing, excessive cosmetic  surgeries, body-piercing, acne mutilation, etc.”