Non suicide self injury (NSSI) is a rare case in adults. Non suicide self injury is an
act of hurting himself such as cutting, burning, punching without intending to
commit suicide. NSSI itself is a complication of major depression that is not treated
properly from the onset of symptoms. Severe depression that lasts for a long time,
can aggravate illnesses such as the appearance of symptoms of psychosis and have
an impact on various complications such as NSSI and somatic complications that
can reduce the patient's health condition. Reported a case of a 22 year old woman
with severe anemia due to chronic bleeding. It is known that chronic bleeding in the
patient is the result of habitual cutting, in which the patient slashes her left forearm.
Cutting habitualis is part of the action of NSSI where the management must be
holistic and sustainable, the management of patients consists of psychotherapy as
starting from dialectical behavior therapy is a form of cognitive therapy that can help
a person adapt to activities that can pass through distress. Psychodynamic therapy
is to help someone form new habits that previously could cause pleasure to the
patient. Psychotherapy accompanied by psychopharmaceuticals can accelerate
improvement in patient.