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20 - Self-harm in young people

from Factsheets for parents, carers and anyone who works with young people

Published online by Cambridge University Press:  02 January 2018

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Summary

Why do young people harm themselves?

Some young people use self-harm as a way of trying to deal with very difficult feelings that build up inside them. This is clearly very serious and can be life-threatening. People say different things about why they do it.

  • • Some say that they have been feeling desperate about a problem and don't know where to turn for help. They feel trapped and helpless. Self-injury helps them to feel more in control.

  • • Some people talk of feelings of anger or tension that get bottled up inside, until they feel like exploding. Self-injury helps to relieve the tension that they feel.

  • • Feelings of guilt or shame may also become unbearable. Selfharm is way of punishing oneself.

  • • Some people try to cope with very upsetting experiences, such as trauma or abuse, by convincing themselves that the upsetting event(s) never happened. These people sometimes feel ‘numb’ or ‘dead’. They say that they feel detached from the world and their bodies, and that self-injury is a way of feeling more connected and alive.

  • • A proportion of young people who self-harm do so because they feel so upset and overwhelmed that they wish to end their lives by dying by suicide. At the time, many people just want their problems to disappear, and have no idea how to get help. They feel as if the only way out is to kill themselves.

  • Who is at risk?

    An episode of self-harm is most commonly triggered by an argument with a parent or close friend. When family life involves a lot of abuse, neglect or rejection, people are more likely to harm themselves. Young people who are depressed, or have an eating disorder, or another serious mental health problem, are more likely to self-harm. So are people who take illegal drugs or drink too much alcohol.

    Many young people who self-harm with a wish to die by suicide also have mental health or personality difficulties; often the suicide attempt follows a stressful event in the young person's life, but in other cases, the young person may not have shown any previous signs of difficulty.

    Sometimes the young person is known to have long-standing difficulties at school, home or with the police. Some will already be seeing a counsellor, psychiatrist or social worker.

    Type
    Chapter
    Information
    Mental Health and Growing Up
    Factsheets for Parents, Teachers and Young People
    , pp. 105 - 108
    Publisher: Royal College of Psychiatrists
    Print publication year: 2013

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