Self-harm as ritual: evolutionary perspective.

Sornarajah, Vaishnavi; Swanepoel, Annie; Eaton, Anna · Br J Psychiatry · 2026

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Abstract

Self-harm among young people is rising worldwide and spreads through peer networks. We apply Tinbergen's four questions - a framework from evolutionary biology applicable to all biological phenomena - to argue that group self-harm may be an ancient ritual process that has become dangerous when severed from the cultural structures that once contained it.