Teen Self-Harm

Teen Self-Harm

What it is:                           

Some adolescents who struggle with their emotions engage in a behavior called self-harm or self-injury, which is a broad term that includes any behavior that causes damage to the body, such as cutting or burning. Self-harm is similar to suicidal behavior in some ways; for example, both cause physical damage and can require medical intervention. Usually, however, when adolescents self-harm by cutting or burning they are not trying to end their lives (though they may also be suicidal at other times). 

Teenagers report that they self-harm for a variety of reasons, though studies show that they usually do it as a way to calm down or feel more regulated. Sometimes parents assume that teens self-injure to get attention or to get out of doing something (like going to school), but that’s usually not the main reason for self-harm - they usually do it to regulate their emotions. In fact, a lot of teenagers hide the fact that they cut or burn themselves from their parents, teachers, and even friends.   

Fortunately, treatments are available that target self-harm. In the short-term, treatment involves learning more effective coping skills for managing intense emotions. Over the long-term, treatment is focused on creating a life worth living, including being able to experience intense emotions without being overwhelmed by them.

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Does This Sound Familiar?

  • When my teen is upset, they tell me the only thing that calms them down is hurting themselves. 
  • I notice unusual scars, bruises, or burns that my adolescent can’t or won’t explain.
  • My teen will say things like “my friends cut too, so I don’t think it’s really a big deal.”
  • I/we have to hide sharp objects or other implements so that our teen doesn’t use them for self-harm. 
  • There are family arguments or conflicts about my teen’s self-harm.
  • My teen seems to like the sight of their own blood. 
  • My adolescent seems to be using self-injury as a way to communicate their distress to me or others. 
  • My teen tells me they self-injure to punish themselves or as a form of self-hatred.
  • I’m concerned that my teen has a peer group that encourages self-injury.

Associated Concerns:

  • Self-harm is not a diagnosis, but rather a coping strategy for other concerns or diagnoses. It was originally most linked to mood concerns and Borderline Personality Disorder (BPD). However, it is also reported in teens that struggle with depression, anxiety, shame, or traumatic experiences. 
  • Rates of self-harm are also higher in adolescents diagnosed with Autism (though it is important to distinguish between self-harm and stimming behaviors, which may require a careful assessment). 
  • Some teens that struggle with self-harm also struggle with suicidality; however, this is not always the case. 
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