September 14, 2026 · The British journal of psychiatry : the journal of mental science · DOI: 10.1192/bjp.2026.10783

Self-harm as ritual: evolutionary perspective

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The authors investigate whether group self-harm among young people can be understood as an ancient ritual process, using Tinbergen's four questions from evolutionary biology as a framework. They suggest that this behavior has become harmful due to its disconnection from the cultural structures that historically provided context and meaning.

Vaishnavi Sornarajah, Annie Swanepoel, Anna Eaton

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