Cutting isn’t just about cutting. It’s about burning, fainting, fingernail scratches, hospital visits, and apparent suicide attempts. It’s about what the author calls self-mutilation (though many sufferers prefer the term "self-injury" as "mutilation" implies that the goal is the scar, which isn’t always the case). These girls (and they are mostly girls) act out their anger or sadness on their own skin, inflicting pain but not attempting suicide.