[Fictional]

I think the first thing you need to do is realise that you don't deserve any of this, nobody does. What is it specificly that makes you want to purge? Is it eating certain foods, eaitng in front of people, eating in general? Then try to figure out a way around that. I'd also recomend - if it's available at your school - getting an appointment with one of the CHAT team. I've done it before, an it really helped boost my self esteem, as well as getting you out of a boring lesson.

With the self harm, try some of the alternatives to self harm, listed in a thread in the Self Harm board, try hanging out with friends that make you feel special, and get rid of whatever you use to cut. If that doesn't work, then just remember, cutting doesn't make you a bad person at all.

As for your sexual abuse and miscarrige, I think the best thing to do would probably be to try to get counceling.

I hope this helps =)
xx