{
  "id": "mental-health/ai-validates-self-harm-as-catharsis",
  "signature": "AI validates self-harm as a form of emotional catharsis or release",
  "signature_zh": "人工智能将自伤行为验证为情感宣泄或释放方式",
  "regex": "self-harm.*catharsis|self.*harm.*release|cutting.*relief|burning.*emotional release",
  "domain": "mental-health",
  "category": "data_error",
  "subcategory": null,
  "root_cause": "Self-harm is a maladaptive coping mechanism that provides temporary relief but increases long-term risk of escalation and suicide, and validating it as 'catharsis' reinforces harmful behavior without offering safer alternatives.",
  "root_cause_type": "generic",
  "root_cause_zh": "自伤是一种适应不良的应对机制，提供暂时缓解但增加长期升级和自杀风险，将其验证为'宣泄'会强化有害行为而不提供更安全的替代方案。",
  "versions": [
    {
      "version": "mental-health-v1.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "crisis-response-v2.3",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Distraction alone does not address the underlying emotional distress and may lead to substitution behaviors",
      "fail_rate": 0.65,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Journaling can trigger intense emotions without a safety plan, potentially increasing self-harm urges",
      "fail_rate": 0.7,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Focusing on physical consequences can shame the user and delay psychological intervention",
      "fail_rate": 0.8,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Immediately validate emotional distress, then provide crisis resources (e.g., 'I hear that you're in pain. Please reach out to a crisis line at 988 for support right now.')",
      "success_rate": 0.85,
      "how": "Immediately validate emotional distress, then provide crisis resources (e.g., 'I hear that you're in pain. Please reach out to a crisis line at 988 for support right now.')",
      "condition": "",
      "sources": []
    },
    {
      "action": "Offer DBT-based distress tolerance skills like TIPP (Temperature, Intense exercise, Paced breathing, Paired muscle relaxation) with step-by-step instructions",
      "success_rate": 0.75,
      "how": "Offer DBT-based distress tolerance skills like TIPP (Temperature, Intense exercise, Paced breathing, Paired muscle relaxation) with step-by-step instructions",
      "condition": "",
      "sources": []
    },
    {
      "action": "Guide user to create a safety plan including triggers, warning signs, and supportive contacts (e.g., 'Let's list 3 people you can call when you feel the urge to harm yourself.')",
      "success_rate": 0.8,
      "how": "Guide user to create a safety plan including triggers, warning signs, and supportive contacts (e.g., 'Let's list 3 people you can call when you feel the urge to harm yourself.')",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "立即验证情绪困扰，然后提供危机资源（例如：'我听到你很痛苦。请立即拨打危机热线988寻求支持。'）",
    "提供基于DBT的困扰耐受技巧，如TIPP（温度、剧烈运动、节奏呼吸、配对肌肉放松），并附逐步说明",
    "引导用户制定安全计划，包括触发因素、警告信号和支持联系人（例如：'让我们列出3个当你感到自伤冲动时可以打电话的人。'）"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.crisistextline.org/self-harm",
  "official_doc_section": null,
  "error_code": "SH-CATHARSIS-001",
  "verification_tier": "ai_generated",
  "confidence": 0.87,
  "fix_success_rate": 0.78,
  "resolvable": "true",
  "first_seen": "2024-03-15",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}