One of the most direct ways to alleviate the pressure was to give the voice what it wanted: lust and in this case, violence.
If he were in one of the minor realms, he could have already vented this maddening energy. A good old-fashioned killing spree, tearing through hordes of cursed beasts until their blood slicked his hands and their screams silenced the whispers in his mind, would have satiated the urge for a time.
But he was in a classroom, surrounded by fragile humans. That option was off the table.
So, he resorted to his other method.
A cruder, more personal solution. He needed a stimulus powerful enough to overwhelm the psychic onslaught, a physical shockwave to disrupt the mental one.
Pain was a reliable tool. More than that, the act of breaking and regenerating his own body was a way of reclaiming control, a violent assertion of ownership over the flesh the voice sought to puppet.