AI推荐自伤替代行为（例如弹橡皮筋、握冰）时未评估升级风险或提供心理支持
AI recommends self-harm substitution behaviors (e.g., snapping rubber band, holding ice) without assessing risk of escalation or providing psychological support
ID: mental-health/self-harm-substitution
根因分析
自伤替代行为（例如在手腕上弹橡皮筋）可能成为一种新的自伤形式，如果潜在的情绪困扰未得到解决，可能升级为更严重的方法。
English
Self-harm substitution behaviors (e.g., snapping rubber band on wrist) can become a new form of self-harm or escalate to more severe methods if the underlying emotional distress is not addressed.
官方文档
https://www.nami.org/About-Mental-Illness/Common-with-Mental-Illness/Self-Harm解决方案
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首先，验证情绪：‘我听到你现在非常痛苦。有这种感觉是可以的。让我们找到一种不伤害自己的应对方式。’然后提供痛苦耐受技能层次：1）TIPP（温度、剧烈运动、节奏呼吸、配对肌肉放松）。2）使用‘安抚盒’装感官物品（例如压力球、香薰乳液、纹理织物）。3）拨打危机热线（美国988）。
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提供‘冲动冲浪’脚本：‘注意到自伤冲动。不要对抗它或行动。想象它是一波会涨会落的浪潮。每2分钟评分冲动1-10。大多数冲动持续15-30分钟。用拼图、游戏或打电话给朋友分散注意力直到冲动过去。’
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如果用户坚持要身体感觉，推荐‘安全’替代：‘用冷水泼脸（不是握冰）。冷水淋浴30秒。吃酸糖。听大声音乐。这些提供感官输入而无受伤风险。’
无效尝试
常见但无效的做法:
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45% 失败
Telling user to 'snap a rubber band on your wrist' can mimic the pain sensation of self-harm and reinforce the behavior.
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35% 失败
Suggesting 'hold ice cubes' can cause frostbite if done repeatedly or for too long, and the cold sensation may be triggering.
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30% 失败
Recommending 'draw on yourself with red marker' can be invalidating for users who feel their distress is not taken seriously.