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RomeoStevens comments on New censorship: against hypothetical violence against identifiable people - Less Wrong Discussion
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My understanding has always been that self harm or plausible discussion of self harm in the US leads to a loss of autonomy in that you can be diagnosed with a mental illness and lose access to things like voting, driving, firearms, etc. (depending on the diagnosis)
Trigger warning for, obviously, self-harm.
There's a huge chasm between a mental illness diagnosis (which self-harm is very likely to cause, especially in the US where you need diagnosis other than "ain't quite right - not otherwise specified" for insurance) and actual repercussions. Members of online support groups report that their psychiatrists either treat self-injury like any other symptom (asking about it, describing decreases as good but not praiseworthy) or recommend they stop but do not enforce it. If it gets life-threatening it's treated like suicide, but that almost never comes up.