Self-Harm/Cutting (Nonsuicidal Self-Injury)

What Is Self-Injury?

Self-injury or self-harm is any form of hurting oneself on purpose, often as a way to deal with painful emotions. The most commonly known type of self-harm is cutting. Other types of self-harm include 

• scratching,
• burning,
• hitting or punching oneself,
• picking at existing wounds.

Most often, self-harm is done with intent to injure but not kill oneself. Self-harm is dangerous, and both the physical wounds and psychological feelings need to be addressed.

Signs of self-injury or self-harm can include

• cuts or burn marks on arms, legs, abdomen;
• finding hidden razors, knives, or other sharp objects;
• spending long periods of time alone, especially in the bedroom or bathroom;
• wearing clothing inappropriate for the weather, such as long sleeves or pants in warm weather.

What Should I Do if I Suspect that My Child Is Self-Harming? 

• If you suspect any injury on your child to be the result of a suicide attempt, call 911 or the National Suicide Prevention Lifeline (1-800-273-8255) immediately.
• Treat any physical injuries as medically necessary.
• Talk to your child as soon as possible regarding the self-injury.
• Consult with a medical or mental health professional to determine next steps.
• Validate your child's feelings, which is different from validating their behavior.
• Be a respectful listener, speak in a calm tone, and offer your child reassurance.
• Model healthy ways of managing stress. Practice using positive coping skills together.
• Don't expect a quick fix. There will be setbacks on the road to recovery, and a slip does not mean that your child is not making progress.