Tattoos, body piercings, ear lobe holes, teeth sharpening, insert lumps, tongue splitting, intentional amputations, etc. is the need for attention and lowers IQs by half. Made in HIS image, not.
Yet it's a less devastating attention-seeking mechanism as opposed to flamboyant homosexuality or transtardism.
All are methods of screaming "LOOK AT ME!", the latter including some muffled cries of "I need help..."