Increased Precautions We're Taking in Response to the Coronavirus
As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at Rolling Hills Hospital to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, on-site visitation is no longer allowed at Rolling Hills Hospital.

  • This restriction has been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • We are offering visitation through telehealth services so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services are being vetted and may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff has received infection prevention and control training.
  • Thorough disinfection and hygiene guidance has been provided.
  • Patient care supplies such as masks and hand sanitizer are being monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.
  • We are in communication with our local health department to receive important community-specific updates.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit

Self-Harm Signs & Symptoms

Rolling Hills Hospital helps individuals struggling with self harm build a strong foundation for long-term recovery. Serving Ada, near Oklahoma City, Rolling Hills Hospital is the premier provider of mental health & addiction treatment for adolescents, adults & seniors.

Understanding Self-Harm

Learn about self-harm

Self-harm, also known as self-injury or self-mutilation, occurs when an individual inflicts physical pain and injury onto his or her person as a result of being unable to cope with distressing emotions, feelings, or situations. Often interpreted by others as attempts at suicide, self-harm is actually a damaging form of unhealthy coping that often indicates the presence of a mental health disorder. Those that engage in this type of behavior may cut, burn, scratch, scrape, bite, pinch, or hit themselves when their anxiety levels become unmanageable. Additionally, some people who intentionally hurt themselves will pull out their own hair, drink harmful chemicals, or purposely break their own bones.

Ignoring self-harming behaviors can ultimately lead to lasting or permanent effects, of which can be life-threatening. Seeking care to cease these behaviors can help those who self-harm understand their emotional pain and receive treatment for any existing mental health disorder. Lastly, effective and appropriate treatment can provide those who self-harm with the necessary tools and skills for healthy coping that can serve them well for a lifetime.


Self-harm statistics

Research has suggested that one in seven males and one in five females engage in self-harming behaviors. Beyond that statistic, it is difficult for experts to determine the true prevalence of self-injury as those who partake in this form of unhealthy coping frequently conceal this type of behavior.

Causes and Risk Factors

Causes and risk factors for self-harm

Experts in the field of mental health agree that the following causes and risk factors can ultimately lead to the onset of self-harming behaviors:

Genetic: Generally speaking, the presence of self-harm suggests that a person is grappling with a form of mental illness. Mental illnesses, such as depression and anxiety, are known to have a genetic component to them as these disorders can run in families. Therefore, if an individual has a genetic predisposition to a form of mental illness, especially illnesses in which poor impulse control is a factor, there is a higher likelihood for an individual to self-harm.

Physical: Because self-injury infers that a person is struggling with a mental health condition, it can be concluded that individuals who self-mutilate have imbalanced neurotransmitters in their brains, as that is often a physical change that occurs when someone is battling a mental illness. Especially when these types of imbalances affect a person’s ability to control impulses or regulate mood, there is an increased possibility that an individual will self-injure.

Environmental: Mental health professionals agree that there are certain environmental influences that can lead a person to resort to self-harming behaviors. Especially when a person lacks the necessary skills for healthy coping, exposure to trauma, abuse, and neglect can cause an individual to hurt him or herself as a way of dealing with unpleasant emotions and feelings. Additionally, chronic stress at home, school, or work can trigger self-harm when a person lacks an adequate support system.

Risk Factors:

  • Possessing a preexisting mental illness or illnesses
  • Family history of mental illness or illnesses
  • Lacking control over impulses
  • Lacking effective coping skills
  • Experiencing the sudden loss of a loved one
  • Having an inadequate support system
  • Experiencing trauma, abuse, and/or neglect
  • Being confused about one’s sexuality

Signs and Symptoms

Signs and symptoms of self-harm

Depending on the length of time a person has been self-harming, as well as the means utilized to cause physical pain and injury, the signs that suggest a person is engaging in self-harming activities can vary. Additionally, where a person injures him or herself can affect the obviousness of signs that infer that he or she is partaking in this kind of behavior. Because individuals who self-mutilate often do so in private, it may not always be clear to loved ones that a person is self-harming. If you suspect a friend or loved one is self-injuring, it is important to report any and all of the following signs and symptoms to a mental health professional so that proper care can be received:

Behavioral symptoms:

  • Decreased participation in things that were once enjoyed or considered pleasurable
  • Social withdrawal or avoidance of certain social situations
  • Wearing clothing that is not appropriate for weather conditions so as to conceal injuries
  • Frequently making excuses for injuries and explaining them away as accidents
  • Picking scabs
  • Intentionally inflicting pain onto oneself
  • Acting out when anxiety levels are high

Physical symptoms:

  • Cuts
  • Bruises
  • Scrapes
  • Burns
  • Unexplainable broken bones
  • Scratches
  • Patches of missing hair

Cognitive symptoms:

  • Poor focus
  • Lack of concentration
  • Inability to control impulses
  • Feeling detached from surroundings
  • Ongoing thoughts about self-injuring

Psychosocial symptoms:

  • Guilty feelings
  • Loneliness
  • Feelings of worthlessness
  • Feelings of helplessness
  • Increased anxiety when not able to self-harm
  • Feelings of hopelessness
  • Feeling defeated or feeling as though it is not possible to achieve any form of success


Effects of self-harm

Several areas of a person’s life can be adversely affected when an individual self-harms. The following effects are known to occur when a person engages in self-mutilating behaviors:

  • Social withdrawal or isolation
  • Increased conflict within interpersonal relationships
  • Greater likelihood for the development of a substance abuse problem
  • Declined academic or occupational functioning

Additionally, there are a number of long-term health risks that can result if a person continues to self-injure without intervention. The listed detriments to a person’s health are possible when an individual self-harms:

  • Anemia
  • Nerve damage
  • Hemorrhaging
  • Scarring or permanent damage to tissues
  • Improperly healed bones
  • Infection
  • Damage to vital organs
  • Organ failure
  • Accidental death

Co-Occurring Disorders

Self-harm and co-occurring disorders

When an individual engages in self-harming behaviors, he or she is most likely suffering from a form of mental illness. The following mental health conditions are frequently diagnosed when a person intentionally injures him or herself:

  • Depressive disorders
  • Bipolar disorder
  • Generalized anxiety disorder
  • Obsessive-compulsive disorder
  • Panic disorder
  • Post-traumatic stress disorder
  • Substance use disorder
  • Borderline personality disorder
  • Eating disorders
  • Schizophrenia

So thankful to have made some great friends at Rolling Hills who could understand what I was going through.

– Former Patient