don't cut too deep if you're not used to the tool, you may go too deep and end up needing stiches. i assume you'd want to avoid having to go to the hospital.
when i can't drink or smoke the thoughts away, i try to overstimulate my brain until it feels smooth. youtube video in the background, playing a game, scrolling reddit, looking up new things to fixate on. i do that all at the same time. it's exhausting but it doesn't give me a moment to think and after a while i get so tired i'm able to fall asleep pretty quickly. sometimes doing physical things helps me, i'm a manic cleaner. at like 7 pm i'll have all this angsty energy and i'll start cleaning everything i see. i don't think, i just do it until my body hurts and my eyes feel heavy. lately i've been feeling the urge to relapse into self harming again so i've been doing everything i can think of to stay busy. it's hard to think when you're busy.