I can't say I enjoyed the idea of carrying out self-harm, but I think the game is well done. While I only played it through once, I was disturbed and horrified and saddened by the main character - all emotional responses to what was happening. I definitely would not recommend this to everyone, but it's a worthy game.
I don't know what plans or projects surround this one, but I can't help but comment on and praise the interesting concepts at work.