The following information is not meant as a substitute for qualified professional advice. 

Self Harm

Self-harm, or self-injury, is physically intentionally hurting oneself without suicidal intentions. This is a sign of emotional distress that should be taken seriously.

Self-harm is used to cope during an emotionally difficult time to help people temporarily feel better because they can physically express and release the tension and pain they feel.

Types of Self-Harm

Cutting or using a razor blade, knife, or other sharp objects against your skin

  • Carving words or symbols into your skin which is separate from cutting

  • Making an impact with objects to the point of bruising or bleeding

  • Burning using cigarettes, matches, or candles

  • Trichotillomania, or pulling out your hair

  • Scratching or pinching using your fingernails or other objects against your skin

  • Breaking your bones or bruising yourself 

  • Interference with healing of a physical wound

Signs of Self-Harm

  • Having frequent cuts, bruises, or scars

  • Wearing long sleeves or pants even in hot weather

  • Making excuses about injuries

  • Having sharp objects around for no apparent reason

  • Difficulties with interpersonal relationships

  • Persistent questions about personal identity

  • Behavioral and emotional instability, impulsiveness, or unpredictability

  • Saying that they feel helpless, hopeless, or worthless

Getting Support

Self-harm is a behavior that indicates a need for better-coping skills. Some may self-injure only one time, while most will engage in self-harm behaviors multiple times. This behavior may last years because many find it extremely difficult to stop. However, there are effective treatments available.

Self-harm is not considered an attempted suicide. However, if someone is engaging in self-harm, they are experiencing real emotional pain and should be taken seriously. They may be at an increased risk of feeling suicidal. If you or someone you know is struggling with self-harm, please seek help from a qualified mental health professional.

Contact the Crisis Text Line by texting HOME to 741741 to connect with a Crisis Counselor. Support is free 24/7. 

The information above was disseminated from published material by Natasha Tracy at HEALTHY PLACE, the National Alliance on Mental Illness (NAMI), the National Institutes of Health (NIH), and the Crisis Text Line. 

Approximately 18% of youth report self-harming at least once 

(Monto, McRee, & Deryck, 2018)

Immediate Crisis Hotlines

If you or someone you know is in suicidal crisis or emotional distress, call the National Suicide Prevention Lifeline at 9-8-8, a free 24-hour hotline. In the case of a life-threatening emergency, call 9-1-1 or visit your nearest emergency room. Below is an additional list of crisis resources.