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Self-Harming

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Self-Harm Support | Understanding Self-Harming and How to Get Help

Self-harming (also called self-injury or non-suicidal self-injury) is when someone intentionally hurts or injures their body. A person may do this because they believe physical pain will relieve emotional pain or distress. While self-harming behaviors are sometimes linked to suicidal thoughts, self-harm is not always an attempt to end one’s life. It is, however, a serious sign that someone is struggling and in emotional pain and may need self-harm support or mental health care.

Why People Self-Harm

There isn’t one single reason why people self-harm. It can be connected to past or current trauma, emotional distress or other mental health needs. Reasons may also change over time.

Some common reasons people self-harm include:

  • Trying to cope with intense emotional pain
  • Expressing distress, anxiety or depression physically
  • Punishing oneself or attempting to regain a sense of control
  • Distracting from painful thoughts or memories
  • Seeking a release or temporary relief
  • A cry for help or a way to signal emotional overwhelm

Common Forms of Self-Harming

Self-harm can take many forms. Some of the most common include:

  • Cutting or scratching the skin
  • Burning or hitting oneself
  • Piercing or poking the skin with sharp objects
  • Banging the head or body against hard surfaces
  • Pulling out hair
  • Picking at wounds or scabs
  • Swallowing harmful objects

Arms, legs and the torso are common areas where self-harm occurs, but it can happen anywhere on the body.

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Signs and Symptoms

People who self-harm often try to hide their behavior. It’s important to watch for possible warning signs:

  • Frequent or unexplained cuts, bruises or scars
  • Wearing long sleeves or pants even in warm weather
  • Keeping sharp objects nearby
  • Frequent “accidents” or injuries
  • Emotional withdrawal or increased isolation
  • Low self-esteem or expressing feelings of worthlessness
  • Difficulty managing emotions or relationships
  • Impulsive or unpredictable behavior

What You Can Do to Help

If you believe someone is self-harming, your calm support can make a difference.

  • Seek professional help immediately. A licensed mental health provider can assess the situation and provide treatment and support
  • Take all suicidal statements seriously. If someone expresses suicidal thoughts or intent, call 911 or 988 right away
  • Stay calm. Avoid yelling, blaming, or shaming. Responding with care helps build safety and trust
  • Encourage healthy coping skills. Suggest activities that relieve stress like art, journaling, walking, yoga, music or mindfulness
  • Keep communication open. Let them know you’re available to talk and that you care about their safety and wellbeing

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KVC Kentucky Can Help

KVC Kentucky provides outpatient behavioral health services for children, teens and adults experiencing self-harming behaviors or other emotional challenges. Our team uses evidence-based therapies to help clients learn safer coping strategies, manage distress and build resilience.

Our clinicians are trained in:

  • CBT (Cognitive Behavioral Therapy) to identify and change harmful thought patterns
  • DBT (Dialectical Behavior Therapy) to improve emotion regulation, distress tolerance and mindfulness
  • CAMS (Collaborative Assessment and Management of Suicidality) to reduce self-harm and suicidal risk through collaboration and safety planning

Each person’s treatment plan is individualized to their needs and focuses on long-term emotional stability and wellbeing.

If you or someone you know is struggling with self-harming or thoughts of suicide, call KVC Kentucky at (859) 254-1035 to speak with a behavioral health professional.

Additional Resources for Support in Kentucky

  • Call your or your child’s primary care provider or find a local Kentucky Community Mental Health Center at chfs.ky.gov
  • Call KVC Kentucky at (859) 254-1035 for outpatient therapy and assessment
  • Text HOME to 741741 for 24/7 support from the Crisis Text Line
  • Call or text 988 or visit 988lifeline.org to connect with the 988 Suicide and Crisis Lifeline
  • Call NAMI Kentucky at 1-800-257-5081 or visit namiky.org for local mental health support
  • Visit the Anxiety & Depression Association of America at adaa.org
  • Learn more about self-harm and emotional wellness at childmind.org