Is self-harm just attention-seeking?

Self-harm should be taken seriously, whatever its purpose. A young person may be trying to cope with intense distress, punish themselves, or communicate that they need help. Not everyone who self-harms wants to die, but self-harm is associated with increased suicide risk. nhs.uk

Respond calmly, avoid shame or punishment, and arrange prompt professional assessment. You might say, “I’m glad I know. You are not in trouble. I want to understand what you’ve been dealing with and help you get support.”

Ask directly about suicidal thoughts, and obtain medical attention for injuries when needed. Do not assume that the absence of stated suicidal intent means there is no risk.

Need immediate support? In the United States, call or text 988 for suicide or mental health crisis support. For a life-threatening emergency, call 911. Do not wait for a routine appointment or a response through this website. National Institute of Mental Health.

This post provides general information and is not a crisis service. For information about my work outside of emergencies, read about my background and clinical supervision and review the support I offer children and teens. Whether my services are appropriate depends on an individual assessment and the level of care needed. Please use the crisis resources for immediate help (988 or 911).