I think anyone who does it for any reason needs to be cared for. Even if doing it for attention by trying to be cool or most depressed you have to questions the motvies for doing so. Maybe they feel they are not getting enough love around them feeling lonely etc.
I think ultimately self harm is a very complex thing, it's often labelled with attention seeking because its very difficult to understand the complexities that underlie it. I think your therapist could have reworded the way she said things.
Your SI may be a tool in order to gain help for things you can't express verbally as they are too hard to entangle.
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