Self-injury is a complex behavior and symptom that results from a variety of factors. Adolescents who have difficulty talking about their feelings may show their emotional tension, physical discomfort, pain, and low self-esteem with self-injurious behaviors. Although some teenagers may feel like the steam in the pressure cooker has been released following the act of harming themselves, others may feel hurt, anger, fear, and hate. The effects of peer pressure and contagion can also influence adolescents to injure themselves. Even though fads come and go, most of the wounds on the adolescents' skin will be permanent. Occasionally, teenagers may hide their scars, burns, and bruises due to feeling embarrassed, rejected, or criticized about their physical appearance. Some adolescents may self-mutilate to take risks, rebel, reject their parents' values, state their individuality, or merely be accepted. Others may injure themselves out of desperation or anger to seek attention, to show their hopelessness and worthlessness, or because they have suicidal thoughts. These children may suffer from serious psychiatric problems such as depression, psychosis, posttraumatic stress disorder (PTSD), and bipolar disorder. Additionally, some adolescents who engage in self-injury may develop borderline personality disorder as adults. Some young children may resort to self-injurious acts from time to time but often grow out of it. Children with developmental delays and/or autism spectrum disorder as well as children who have been abused or abandoned may also show these behaviors. This information can be published in our peer-reviewed journal with impact factors and are calculated using citations not only from research articles but also review articles (which tend to receive more citations), editorials, letters, meeting abstracts, short communications, and case reports. The inclusion of these publications provides the opportunity for editors and publishers to manipulate the ratio used to calculate the impact factor and try to increase their number rapidly. Impact factor plays a major role for the particular journal. Journal with higher impact factor is considered to be more important than other ones.