Self Harm


Self-harm is a term that encompasses a range of behaviours where an individual intentionally inflicts harm on themselves as a way of coping with emotional pain or distress. It's important to note that self-harm is not an expression of suicidal intent; rather, it often serves as a means for individuals to cope with overwhelming emotions or situations.

The methods of self-harm can vary and may include cutting, burning, hitting, or other forms of self-inflicted injury. These actions are often carried out in private, and individuals may go to great lengths to conceal their injuries.

It's crucial to approach the topic with sensitivity and empathy, understanding that self-harm is often a visible sign of an underlying emotional struggle. People who self-harm may find temporary relief from emotional pain through these actions, but it is not a healthy or sustainable coping mechanism.

Mental health professionals can provide support, guidance, and resources to address the root causes of emotional distress and develop healthier coping strategies.

Ask

Approaching someone about self-harm requires a delicate and compassionate approach. It is important to create a safe and non-judgmental space for the individual to share their feelings and experiences. Here are some open-ended questions that may help initiate a conversation:

  • "I've noticed some changes in your behaviour; can you tell me more about what's been going on?"
  • "How have you been feeling emotionally lately?"
  • "Is there something on your mind that you want to talk about?"
  • "I'm here to listen. Can you help me understand what you have been going through?"
  • "Have there been specific things that have been particularly challenging for you recently?"
  • "Can you share with me how you cope with stress or difficult emotions?"

Assist

Reflect what has been said to you; “you said you have not been coping well, tell me a bit more about that?

  • "I've read that sometimes people use self-harm as a way to cope. Is this something you have experienced?"
  • "How do you feel about seeking support for what you're going through?"
  • "What can I do to support you right now?"

Remember, the key is to be patient, empathetic, and understanding. Avoid being confrontational or judgmental. If the person is not ready to open up, respect their pace and let them know you are there for support when they are ready. If there is an immediate concern for their safety, encourage them to seek professional help or contact emergency services.

Act

If you are worried that someone is at immediate risk of taking their own life then phone 999, you should stay with that person until help arrives. Do not put your own safety at risk by getting physically involved.

If no immediate risk take the following steps:

 
  • Give reassurances that there are lots of sources of support and that self-harming is common. 
  • If you are worried that this person is in crisis, please see section for Suicide Prevention
  • Encourage contacting local mental health support services or GP
  • Encourage self-help techniques and resources
  • Provide reassurance that recovery from spells of poor mental health or mental illness is achievable and likely.