Self-harm

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Talking to your teen about self-harm can be difficult. Start with a calm, compassionate, non-judgmental conversation. Share your concern and ask open questions to understand how they’re feeling, for example: “I’m worried about you and noticed these marks. Can you tell me what’s going on?”

Self-harm is when someone deliberately hurts their body to cope with overwhelming emotions, painful memories, or distressing experiences. It is a serious mental health concern in young people.

Most self-poisoning involves prescribed or over-the-counter medication. Most self-injury involves cutting.

Self-harm can include suicide attempts or behaviors with little/no intent to die, often used to cope with distress, relieve tension, or communicate feelings.

Possible warning signs:

Frequently covering up (e.g., long sleeves)
Unexplained cuts, bruises, burns
Blood stains or bloody tissues
Withdrawal, isolation, avoiding others
Low mood, low self-esteem, self-blame
Anger outbursts or risky behaviors (alcohol/drugs)

Helpful questions to explore self-harm (ask gently, not all at once):

Did you mean to end your life? (important to assess suicidal thoughts)
When did it start? How often does it happen? What methods are used?
How do you care for any wounds?
What usually leads you to harm yourself?
When was the last time?

A basic wound-care kit may include gauze, alcohol-free wipes, closure strips, dressings, tape, and a bandage.

Prepare for these conversations, ask with care, and ensure support is available. Acknowledge that self-harm is a way to cope with distress and gently discuss healthier alternatives Microsoft Word – Coping mechanisms for self harm-client’s.docx. Involving a mental health professional is crucial, you can make a referral here Make a Referral | Exchange Counselling If you’re concerned about their immediate safety, take them to an A&E or use one of these resources available 24/7:

– Papyrus 0800 068 4141

– Self Injury support 08088008088 text 07537432444

– Calm 0800 585 858

Parental Guide Supporting-Your-Child-A5-Booklet-English-2023