Self-Harm

For some people, physical pain feels like a release or a way to make emotional numbness feel real. However, self-harm doesn’t heal emotional pain. It can lead to shame, guilt, and a harmful cycle.

People who self-harm face higher risks of accidental injury and suicidal thoughts. With support and treatment, these patterns can change.
 

People who self-harm often go to great lengths to hide it. Recognizing the signs can help you understand when someone might be in distress and need extra support.

Possible self-harm warning signs include:

• Avoiding social activities or relationships
• Frequent “accidental” injuries
• Keeping sharp objects nearby
• Talking about feeling worthless, empty, or hopeless
• Unexplained cuts, burns, or scars
• Wearing long sleeves or pants in warm weather

Common self-harm risk factors:

• Difficulty managing emotions or low self-esteem
• Having friends who self-harm
• Past trauma, abuse, or neglect
• Pre-existing diagnosis of depression, anxiety, post-traumatic stress, or personality disorders
• Social isolation or bullying
• Substance use (alcohol or drugs)
   

It can be painful to learn that someone you care about is hurting themself, but being compassionate and calm helps keep them safe. It’s okay not to have all the answers. Being present and patient can make a real difference.

If someone you know is self-harming:

• Stay calm and listen without judgment.
• Encourage them to talk about what they’re feeling.
• Avoid making threats or demands to “just stop.”
• Gently suggest professional help or offer to help find resources.
• If you believe they’re in immediate danger, call 911 or 988.

Recovery takes courage and dedication. Try some of these coping strategies when you feel the urge to self-harm:

• Talk with a mental health professional to discuss therapy options.
• Move your body by stretching, doing yoga, or taking gentle walks to stay active.
• Practice deep breathing or grounding techniques when distress rises.
• Reach out to someone you trust instead of being alone.
• Write or draw about what you feel instead of acting on it.

If you’ve been self-harming for a while, therapies such as Dialectical Behavior Therapy (DBT) or Cognitive Behavioral Therapy (CBT) can teach long-term coping and emotion regulation skills.