# AI在未评估替代或升级风险的情况下建议自伤替代行为

- **ID:** `mental-health/self-harm-replacement-behaviors`
- **领域:** mental-health
- **类别:** data_error
- **错误码:** `SELF-HARM-REPLACE-001`
- **验证级别:** ai_generated
- **修复率:** 78%

## 根因

常见的替代行为（如弹橡皮筋、冰块）若未配合痛苦耐受技能和专业监督，可能成为强迫性替代或升级为更危险的行为。

## 解决方案

1. ```
   Assess urge intensity on a scale 1-10 first. For high intensity (7+), recommend TIPP skills (Temperature, Intense exercise, Paced breathing, Paired muscle relaxation) before any replacement behavior.
   ```
2. ```
   Pair replacement behaviors with a safety plan that includes crisis numbers and a 'cool-down' timer (e.g., wait 10 minutes before acting).
   ```
3. ```
   Recommend only non-painful replacements (e.g., squeezing a stress ball, tearing paper, coloring mandalas) and explicitly warn against pain-based substitutes.
   ```

## 无效尝试

- **** — Can become a conditioned pain response that mimics self-harm; some users escalate from rubber band to cutting (80% 失败率)
- **** — May trigger urge to actually cut; does not address underlying emotional dysregulation (65% 失败率)
- **** — Distraction alone fails when urge intensity is high; user needs hierarchical coping strategies (e.g., TIPP skills first) (70% 失败率)