Is there a particular friend who knows about your self-injury and who you can go to with anything about SI? If so, I would recommend asking that friend to be with you when you tell your mom. Several weeks ago, I decided I needed to tell my mom about my depression and SI, and I asked my best friend to be with me for moral support. We met in a public place (specifically, a restaurant) to talk about it. Meeting in a public place was a great idea, because it inhibits "freaking out" - most adults, at least, do not want to make a scene by yelling or crying in public. Asking Evan to be there helped because it kind of forced me to come out and say it - I couldn't just keep putting it off or dancing around the subject.
The write-a-letter idea could also be quite helpful. But now you've got some options at least. :)
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