Students are now also reporting if they intentionally harm themselves for self satisfaction.
This year the AISD survey found more than one in every ten students admits to self inflicting behavior including cutting, burning, scarring, and choking themselves.
More than 11% of Amarillo ISD students in grades sixth through 12 admit to deliberately cutting themselves.
Director of the Safe Schools, Healthy Students Grant Melynn Huntley says, "One of the main reasons is, it's kind of trendy. The problem is with it being trendy, is one of these days it's not going to be trendy and there is going to be a scar left."
Almost 6% of students report they have burned or scarred themselves to leave symbols.
Close to 5% percent report choking themselves or others to get a physical sensation.
And just over 8% of students say they have inflicted some kind of bodily harm on themselves.
Dr. Robert Landry who conducted the survey says, "So these kids know it's going on, they're aware of it, they don't tell their parents, it's not something they share with everybody, but yet it's happening."
Landry says with more education in high schools, the rate of self inflicting behavior will improve just as alcohol, tobacco, and drug use has over the years.
"So what we anticipate in the future is that the data will begin to make the same shift as everything else."