Common coping skills offered for self-harm often include a less intrusive form of self-harm, including snapping a rubber band on your wrist; squeezing an ice cube; digging fingernails into your skin; scratching; or taking a freezing cold shower. All of these provide a minor level of pain and the brain still releases the ever-satisfying (and potentially addicting) endorphins. I have also heard of people drawing hash marks in place of using a blade, sometimes using red ink. I have encouraged these as alternatives when people believe they truly need to feel pain. However, I believe all perpetuate the self-harm cycle… just to a lesser degree than a blade (squeezing an ice cube has also been shown to cause nerve damage). It’s one step down, but it’s not where you necessarily want to be.
Some healthy coping skills I might encourage are: drawing a picture of something sweet (like a butterfly) where you would self-harm; write an encouraging quote (a Bible verse?) where you would self-harm; drinking juice or eating a healthy meal (if you have not eaten recently, your hypoglycemia may be perpetuating your cycle); or healthy exercise.
However, I have found art therapy to be the most effective coping skill in managing self-harm. It’s cathartic, it tires your arm if you scribble hard enough, and if you use bright colors it will improve your mood (whereas the dark colors- especially red- may perpetuate the cycle). This drawing is beautiful because it was used as an alternative. And it worked. I encourage you to try it too.