I haven't had experience with self injury, and I never heard about it manifesting this way, so I wanted to see if anyone had any insights about this. I have a friend who has a 15 year old teen who is "accident prone." He's already broken 4 bones in his body at different times. His "accidents" always occur when she has a major project at work. Within a few days of him hearing about her plans, he gets into an accident that is so serious, it leaves him with a broken bone. Examples of his accidents are falling after climbing a tree, riding his bike in the street and getting hit by a car, etc. It never seems intentional as cutting is. But he fits in with characteristics of self injury disorder that I read about online: he's impulsive, has trouble coping with strong emotions, has a high pain threshold, has interpersonal conflicts with his narcissistic father who he has to stay with when his mom starts a project (it gets really intense). Also, it seems to me that if he has an objective, it is to elicit guilt to get attention and care from his mom, which was also online as something a self injuring person does. Most recently, she even cancelled her work plans to care for him. She feels really guilty when she has to focus on work, and her son's injuries heightens her emotions and guilt a lot. But in doing that, is she possibly feeding into his unconscious motives? She's nervous because she needs to work as her ex hasn't had a job in a while and does not give her any financial support.