This short book provides a well-written, thoughtful, thought-provoking and accessible introduction to some of the issues influencing people's (and in particular children's) decisions to self-harm. The topic is difficult, as the evidence that someone you care about is self-harming can be horrifying and rather frightening to face. Joan Freeman generally succeeds in her attempts to help those dealing with the fact that someone they know feels the need to do something that is so contrary to natural human instincts towards self-preservation.
Freeman's study helps friends and family members (as well as support service workers) to see beyond the myth that self-harm must equate to being suicidal - it can be a 'cry for help', but can also be a coping mechanism... the physical actualisation of mental pain serving as a sort of pressure relief valve, but isn't usually direct evidence of suicidal thoughts - although the two do need to be confronted together.
The book looks not only at the factors behind the self-harming behaviours, but also at the impact the discovery of this can have on family relationships, and the kinds of questions that need to be asked about motivation.
The Kindle edition of this book is not particularly well presented: the formatting is rather messy, without clear breaks in the text at e.g. section and Chapter headings.