I didn’t get her cutting at all. She’d done it sporadically, ever since the accident and it scared me each time. She'd try to explain it to me, how she didn't want to die—she just needed to get it out somehow. She felt so much emotionally, she would say, that a physical outlet—physical pain—was the only way to make the internal pain go away. It was the only way she could control it.
Richelle Mead (2013). “Vampire Academy: The Complete Collection”, p.90, Penguin