Both unilateral and bilateral contracts are enforceable in court. For example, a unilateral contract is enforceable when someone chooses to begin fulfilling the act demanded by the promisor. A bilateral contract is enforceable from the get-go; both parties are bound the promise.
Yes, scratching is a form of self harm. Try to tackle this problem while you can because it has the potential to get worse. I started out scratching and now I burn myself with a lighter and cut myself. It's a self-destructive way to deal with overwhelming mental/emotional pain.
Finally, the self-injury referred to on this website is not that which is often found in cases of intellectual disability, autism, or other developmental disorders-it is self-injury that is done by someone who is fully aware of what they are doing.