Understanding and Managing Self-Harm

A Comprehensive Guide for Patients and Their Loved Ones

Psychiatry

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Last updated: Mar 24, 2025

What is Self-Harm?

Self-harm, also known as self-injury or non-suicidal self-injury (NSSI), refers to deliberately causing injury or damage to one's own body. It's often a way of coping with emotional pain, intense anger, or frustration.

Common Forms of Self-Harm

  • Cutting or scratching the skin
  • Burning
  • Hitting or punching oneself
  • Picking at wounds or preventing them from healing
  • Hair pulling (trichotillomania)

Warning Signs

Physical Signs:

  • Unexplained cuts, bruises, or burns
  • Wearing long sleeves or pants, even in warm weather
  • Fresh scars or frequent injuries

Behavioral Signs:

  • Isolation from friends and family
  • Emotional instability
  • Difficulty expressing feelings
  • Low self-esteem

Why People Self-Harm

  • To release emotional pain
  • To feel a sense of control
  • To express feelings that can't be put into words
  • To punish themselves
  • To feel something when feeling emotionally numb

Getting Help

Immediate Steps:

  1. Reach out to a mental health professional
  2. Contact your primary care physician
  3. Call emergency services if in immediate danger

Treatment Options:

  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavior Therapy (DBT)
  • Medication (when appropriate)
  • Group therapy
  • Family therapy

Coping Strategies

  • Practice mindfulness and grounding techniques
  • Use distraction methods
  • Exercise regularly
  • Keep a journal
  • Maintain social connections

Support Resources

  • National Crisis Hotline: 988
  • Local mental health services
  • Support groups
  • Online communities

Prevention Techniques

  1. Identify triggers
  2. Develop a safety plan
  3. Learn healthy coping mechanisms
  4. Build a support network

For Family and Friends

  • Offer non-judgmental support
  • Listen without criticism
  • Encourage professional help
  • Learn about self-harm
  • Take care of your own mental health

Recovery Journey

Recovery is possible with proper support and treatment. Remember that healing takes time and setbacks are normal. Focus on progress, not perfection.

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