by Ralph P. Plumley. The impulse to harm oneself is not confined to one demographic. It can affect absolutely anyone at any time. The emotional and psychological distress that leads to such thoughts aren’t easily understood by the one suffering them, nor by those who want to help. This CareNote is a good read for both parties. It identifies some of the reasons one would consider suicide or self-injury; and it offers solid guidance to those reaching out for help and trusted resources that can provide that help.