Yes, it is a problem everywhere. I see it more with the boys than the girls here. Lots of them use pens to do it. I have never understood self-mutilation and never will...I have a friend (an adult) who burns herself, although it has gotten better since her father died. She had been molested. I am not a fan of pain, so, that would never be my choice, but, for some people that's their outlet, but, they desperately need to seek help. My friend did and continues to see a couple of counselors.