McLean Hospital SIM Research (IMAGE) McLean Hospital Caption Self-injury mortality (SIM) has surpassed diabetes as the seventh leading cause of death in the United States. Credit McLean Hospital Usage Restrictions Please include photo credit and use to promote this press release. License Licensed content Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.