Honestly not much radicalized me in regards to bodily autonomy the way being a chronic selfharmer for 10+ years has. And one of those things that really are so awful to deal with is a lack of privacy.
When I go inpatient and they ask me if I have wounds, and I answer honestly, they dont just write that down. They make me undress and show each single one, otherwise I wont be "processed" and let into my room.
In the underage psych ward I was in they would sometimes search the rooms of known selfharmers while we were away at a therapy appointment, or seeing family in the visitation room, etc. They wouldn't tell you. They would lie about it if you asked about it. But all your shit had been moved around slightly, enough for observant people to notice. If they found blades, or any other sharp object regardless of it you had used it to selfharm though, you would obviously be punished.
One time I cut and went to the nurses for help, I was scared because it had never been that deep before and their response was tossing my room after I had voluntarily given them the two blades i had, while a male nurse kept saying how uncomfortable he was that he "had to" inspect my pads, saying "why would you need that many", ... they had metal detectors. They could've just swiped it across everything. But that wouldn't have been humiliating enough like seeing a nurse dig through my underwear and pads and diary.
Outside of the psych ward, my family kept up a similar approach. They did not search my room at least, knowing it was futile because there were always knifes in the house if I was desperate anyways, and a store down the street that sold razors. But locked doors were my mothers enemy. If I locked my door to masturbate, and she noticed it was locked? She would knock and yell until I opened it. If I simply wanted to relax in a bath but she decided it was suspiciously long ? The same.
When they couldn't catch me in the act but my scars kept getting more and more theyd threaten me with being hospitalized again.
When the hospital ER would send me to the closed ward for cuts that had nothing to do with suicidal ideation, but they decided I must be lying because it was deep enough, no matter how often I said I simply "messed up" because of adrenaline and blades that were sharper than expected. They had no legal ground to lock me up again but who cares, right. Its just one of those freaks who cuts themselves anyways.
And none of this kept me safe. None of this prevented me from cutting majority of the time. It made me distrust the ER. It made me distrust nurses. It made me hide my body even around my family. And when it did momentarily work I simply started harming myself in other ways. I ended up covered in bruises, with minor concussions, increasingly starving myself, depriving myself of sleep, ...
No one ever went "let's really try to figure out why you do this." Instead they went "why the fuck wont you just chew some bubble gum and roll a spikey ball on the soles of your feet you depressed fuck" or some shit like bro I am being severely traumatized by the world and this is my reaction. It's all "you are the problem".
And as an adult whos decided that I'm not interested in quitting, who "only" practices harm reduction I know that absolutely no one wants to accept that as a choice I should be allowed to make. Doesnt matter that I'm an expert at taking care of wounds and I have not had a single infection in 10+ years aside from once on wounds that got fucking stitched at the hospital. that I actively do my best to avoid lasting damage. That I try to keep the frequency low. They put me through years of surveillance and shame and threats without ever trying to see the root cause, only ever treat me as a bratty problem child who's being difficult just to fuck with them, and can not understand why that wouldn't make me want to stick to the goals they have set for me.
Therapists genuinely lose their mind when I tell them I don't want ~sobriety~ I just want to reduce harm and get on with my life. Their teachings do not allow for this to be but a short term compromise. I do not care.