Deliberate self harm
What is deliberate self-harm?
Deliberate self-harm (also known as self-injury) is when you deliberately inflict physical harm on yourself, usually in secret and often without anyone else knowing. Some examples are cutting, burning, biting or hitting your body, pulling out hair or scratching and picking at sores on your skin.
Deliberate self-harm is not necessarily a suicide attempt and engaging in self-harm may not mean that someone wants to die. Most commonly deliberate self-harm is a behaviour that is used to cope with difficult or painful feelings.
Why do people deliberately harm themselves?
People who deliberately harm themselves have often had tough experiences or relationships in their lives. You may have:
- Been bullied or discriminated against
- Lost someone close to you, such as a parent, brother, sister or friend
- Broken up with a boyfriend or girlfriend
- Been physically or sexually abused
- Experienced a serious illness or disability that affects the way you feel about yourself
- Experienced problems with family, school or peer groups
Deliberate self-harm may be used as a way to cope with experiences and the strong feelings associated with it. Self-harm may:
Provide a way to express difficult or hidden feelings
It is not uncommon to feel numb or empty as a result of overwhelming feelings you may be experiencing and engaging in deliberate self-harm may provide you with a temporary sense of feeling again. It may also provide a way to express anger, sadness, grief or hurt.
Be a way of communicating to people that you need some support
When you feel unable to use words or any other way to do so, you may feel that the only way you have left is to harm yourself.
Be a way of proving to yourself that you are not invisible
Feeling the pain when you harm yourself can make you feel real - like you are not invisible - that you do have feelings and that you aren't numb.
Provide you with a feeling of control
You might feel that self-harm is one way you can have a sense of control over your life, feelings, or body, especially if you feel as if other things in your life are out of control.
Bring an immediate sense of relief
It is only a temporary 'solution' though, a 'band-aid fix', because your real feelings of hurt and distress have not been dealt with. It can also cause permanent damage to your body if you injure nerves.
Psychologically, it may be associated with a sense of guilt, depression, low self-esteem or self-hatred along with a tendency to isolate yourself from others.
Finding help
Lifeline is now online. If you are experiencing a personal crisis, Lifeline can help.
Click here to access crisis support chat now
Although it may seem hard, it's important that you can reach out to someone who can help you work through some of the reasons for harming yourself and find healthier, more positive alternatives for alleviating the pain you feel inside. It may take time, but it's important to remember that you can move to a happier and healthier outlook.
Speaking to someone about your self-harm may be hard and it is particularly important to trust the person you are speaking with. Try a counsellor or a counsellor at Kids Helpline
If you are having difficulty speaking about what you're going through, you might start with sentences such as 'Right now, I'm feeling...', 'I think it started when...', 'I've been feeling this for...', 'My sleep has been...', 'Lately school/work/uni has been...'.
Or write them down to give to someone you trust.
It may be necessary to talk to someone like a counsellor, psychologist, or psychiatrist to help you to work through some of the reasons why you are harming yourself and to find alternative strategies for alleviating the pain you feel inside.
Like any relationship, building trust with your counsellor, psychologist or psychiatrist may take time and it is important you find someone you feel comfortable with. This may mean seeing several people before finding the one that you "click" with.
If there is a family member you feel comfortable telling, it may be helpful for you to have their support in finding a counsellor that is right for you.
It's likely that the person you feel comfortable telling will already be worried about you and will be relieved at having the opportunity to listen and help.
If you don't get a positive response, try to remember that it is not because you have done something wrong, but because the person you have told may not know how to respond to what you have told them or may not understand much about deliberate self-harm.
Don't give up! Either try again or maybe speak to someone else who you think you might receive a more supportive response from.
If talking about it with someone is too overwhelming, an alternative is to email or write down what you want to say.
Otherwise, a first step might be to talk to Lifeline (131 114) - cost of a local call from a landline or Kids Helpline (1800 55 1800) - free from a landline. Both are anonymous and open 24 hours / 7 days a week.
Kids Helpline offer an email/web counselling service so try their website Kids Helpline
If you or a friend are harming yourselves, it is also important that you take care of the injuries caused and if necessary, seek medical help through your GP or, if it's serious, a hospital's emergency department.
In most situations, doctors and other health professionals must keep information given to them by patients or clients confidential. However, they are required to report information they receive if they have serious concerns about your (or someone else's) safety. See the Confidentiality fact sheet listed and other links listed on the left hand side for more info.
Coping without harming yourself
As well as support from a friend, family member and/or health professional, it may also be necessary to create a list of alternative strategies to self-harm for managing your emotions.
If you are feeling like you want to harm yourself there are a number of things that you might try to distract yourself with until the feelings become more manageable. If you can, make sure that you are around other people and remove any sharp objects from the area.
Some ideas for releasing energy or feelings include:
- Choose to put off harming yourself until you've spoken to someone else or waited for 15 minutes (and see if you can extend it for another 15 minutes beyond that, continue to do it again and so on until the feeling passes).
- Write in a journal - you might like to use an online journal. Reach Out plans on having the journals up and running soon!
- Exercise - Go for a run or walk in the park to use up excess energy.
- Play video games - This may be a good way to distract yourself and help until the anxiety passes.
- Yell or sing at the top of your lungs on your own or to music. You might do this into a pillow if you don't want other people in the house to hear.
- Relaxation techniques - Activities like yoga or meditation are often helpful in reducing anxiety.
- Cry - crying is a healthy and normal way (i.e. not weak or dumb) to express your sadness or frustrations.
- Talk to someone - talk with a trusted friends or call a helpline.
Alternatives to deliberate self-harm
There are some more suggestions below that some people have tried in an emergency if none of the above suggestions have helped.
However, these suggestions will not help in the long run as they keep you from addressing the thoughts and feelings that result in this self harming behaviour.
If you are finding that you are often using these suggestions below, or similar ones, please find help and talk with someone.
These suggestions are alternatives to self harm but they are not a solution to the problem.
- Punching a pillow or punching bag
- Squeeze ice cubes till your fingers go numb
- Eat a chilli, or something really hot
- Have a cold shower
- Put vapour rub or deep heat under your nose (it stings and makes you cry)
- Waxing your legs (or getting them waxed)
- Draw or write in red over your body (instead of cutting)
Take care of yourself
It's important to eat well, exercise and be kind to yourself. While not a solution in itself, doing all these things contribute to a higher sense of self-worth, increased stability of moods, and a general better sense of wellbeing - making you feel more happy, on the outside and the inside.
You are not alone. Check out some of the stories from other young people, and other resources on ReachOut.com
- Dear self-harm (Story)
- Worried about a friend who is self-harming (Fact sheet)
- Who can help you (Resources)
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30 Comments (Page 1 of 9)
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Antria
25 days ago
Reply ReportHey all - I sort of agree and disagree. I think everyone's journey with self-harm is different! For some people, I think it does get harder before it gets easier, while for others, things like time, age and learning new coping strategies can make it feel much easier to stop :)
Recovering_Rin
25 days ago
Reply ReportHi Erd, i understand where you are coming from. I came across this site tonight hopefully to get help myself for the same thing.
frankie84
26 days ago
Reply ReportHi erd, did you know you don't have to go through this alone? Just talking things out with someone supportive can be a big help.
It is hard to believe from where you are standing, I know, but one day you won't have to feel like this all the time. Keep holding on, and please keep trying to seek help - I recommend Lifeline counselling or Kids Helpline.
erd
26 days ago
Reply Reportim over this constant feeling of wanting to hurt myself, im over trying to keep myself from doing it. its not hurting any one but yet i keep myself from hurting myself... i dont get it everynight it gets worse. why wont it go away :(
EDITED BY ADMIN: Guidelines re:details of self harm, see commenting guidelines here.
Rosie
about 1 month ago
Reply ReportHey vision wolf,
vision wolf
about 1 month ago
Reply Reporti am a self harmer. i've been doing it for about 2 years now. i know i should get help but i have social problems. my parents devorced when i was 6, and i guess that's where it started. i'm 14 now. i saw the school psychologist for about 5 weeks two years ago, and she told my dad a few things, but then the sessions stopped and nobody did anything. a couple of years before that (i was about 8/9 yrs old) i told my mum and she took me to a doctor. the doctor didn't do anything, and neither did my mum. i told my mum again a year later, but she told me to get over it. i feel like no one wants to help me. i 've had moral support from one of my friends, but almost every day she acts like it doesn't exist.
Randomness
about 1 month ago
Reply ReportHi Big Momma,
Big Momma
about 1 month ago
Reply Reporthi I m the mother of a self harmer. I need help to be able to help them. I do not know where to get this help. I want to be able to talk to my child but am afraid of how to say things or what to say as I do not want to cause them stress that may lead to further self harm. they have always found it hard to talk to me and I am not sure why and would love to overcome this problem. I dont know i they are seeing a counsellor or not . I have recently told them that i knew they were self harming and that I would do anything to help take them anywhere and they dont even have to tell me why they do it or about their probs but perhaps i should have emphasised that they could talk to me if they wanted too? I also later said that they werent in trouble and that i as not angry with them but that i just wanted to help . they told me that they hated me. Now I am worried that they have done more harm as they have covered one. wrist. i am so scared for them and worried that i cant eat or sleep much . I dont know who I can turn to or how I can help them.
depgirl
about 1 month ago
Reply ReportI have had really bad depression for the past few months, and have been hurting myself on-and-off for about 2 years. For the last couple of weeks I have just felt kind of numb. I have found that I am hurting myself more often. I used to feel guilty about it, but now it doesn't really bother me, except the stress of keeping it out of sight. I told my psychiatrist and she said she didn't want me to do it while I was with her, so she gave me an elastic band to try and stop me. All that achieved though was a different type of mark that I had to hide. I can't get myself to stop it, and other alternatives eg elastic band, don't work. It's getting worse and I don't know what to do.
gphelps
3 months ago
Reply ReportHey Picador,
Picador
3 months ago
Reply ReportHey Bells,
Bella.
3 months ago
Reply ReportHey Picador,
Picador
3 months ago
Reply ReportI kind of don't really understand why i'm here. I've only just started to self harm 1 and a half months ago. I stopped but i started again a week ago and have done it numerous times since.
Georgie-
5 months ago
Reply ReportHey TeddyRocks123,
Randomness
5 months ago
Reply Report:)
TeddyRocks123
5 months ago
Reply ReportWow!! Thank you so much! :) Really helped me understand it better. This is such cool community/site :P
Randomness
5 months ago
Reply ReportHey TeddyRocks123,
TeddyRocks123
5 months ago
Reply ReportI don't see why self-harming is seen so negatively in the community. It is so socially unacceptable, but for some people it can be fine. I do it, and I'm fine. For me it is a way of coping, when I can't handle things anymore, I release my feelings that way, and can get back in control. I'm not depressed or suicidal. Yet I still need to hide the scars from my friends and family.
Is something wrong with me? I would appreciate discussion, I don't know what to think!
Bella.
5 months ago
Reply ReportHi Randomness and All things,
Randomness
6 months ago
Reply ReportHi mouse39
Randomness
6 months ago
Reply ReportHi mouse39
mouse39
6 months ago
Reply Reporthow on earth do I ask for help and who can I ask without the whole world knowing?
Randomness
6 months ago
Reply ReportNo you were not being stupid. It's ok to feel bad sometimes.
AllThings
6 months ago
Reply ReportHmm im sorry i was being stupid before... im okay now... i think... how come there is only you an me who use this site?
i kinda just wish i there were more people like me, was all.
what happened to Rg? is he okay?
i did do it again today but im going to try and gradually ease my way out of it an extra day at a time...
is it stupid that i keep comming back here? i mean i supose there isnt much more you can tell me to help me is there? i just have to take what you have said and use it all... I do wish there was more help tho becasue it kinda is a way for me to vent a bit when i type here. but again if im using this comments page wrong let me know and I can find somewhere else.
but thanks for all your help. i really did take alot of it in. i hope i end up okay. no im sure i will. you did so it means i can to if i follow your advice. this will hopfully be the last time i post here but i will visite the sight often... thank you so much... i really mean it... i will never forget you. you are helping me change my life.
AllThings
6 months ago
Reply ReportSo i went and saw the counceler yesterday... i dont know about it. i dont know if it made me feel any better. i told her everything but now i just feel like an idiot because someone actually knows who i am... she said she wouldnt tell anyone. but we sat there for an hour and it didnt feel like we had got anywhere. arnt these things ment to make me feel normal? I told her about this website and that there was this "comments page" which i talked to you on... she said that i should keep posting here becasue it makes me feel a bit better. you know with the whole being annomaus thing... I cant spell...
Im feeling really down today. im trying not to do it again. but what happens if i stuff up... its been 2 days since i did it last. and its useally been around every 2 days... idk i think im just demented in the head and there is no hope for me sometimes...
I just hate myself so much at the moment and all i feel like doing is well yeah you know...
Randomness
6 months ago
Reply ReportAllThings
6 months ago
Reply ReportThanks randomness your advice really is helping.
I did it again today. I guess the whole counsellor thing got to me a bit... I hate my self even more now. but i have decided that Im at least going to show up to my appointment tomorrow... i dont know how much im going to tell her but im hoping she will be able to help with that.
I really would like to have a good friend to talk to about this but i really just cant. i mean its alot easyer telling you on this website becasue no one knows who i am. your also accepting becasue you said you have gone through this. I mean i do want to tell someone its just i think now isnt the right time.
I still cant sleep very well idk whether its becasue im in pain or becasue somthing is wrong with me. and uni starts for me tomorrow so I really dont want to disapoint people i have to get better... there is so much pressure... maybe Ill try eating some chocolate :)
I just think im ment to be better then who i am, better then this, and it hurts me when i think about it... im glad i found this website i glad i found you. thanks for sticking with me through this time its hard for me. but im glad im not alone anymore. i can talk to you...
Randomness
6 months ago
Reply ReportYou're seriously no trouble at all. I am happy to help and I'm glad that you are willing to keep asking questions. It's a good thing on your part. I wouldn't be on this site if I didn't want to talk to and help people like you. So feel free to comment as many times as you like. It is not a problem to me.
AllThings
6 months ago
Reply ReportSo today I went to the councelers office... just to find out information about it... i was prepared to sign up for an appointment but then i got a little spooked... it seems so stupid that im like this... I sat around for around a hour and finally rang from outside the office and booked in a time... but i still am a little worried and dont know if i should show up or not... i didnt ever think i would be in a situation like this ever... Im really worried about it... what im i ment to talk to her about? I feel so ill atm... ive got this feeling inside me atm like the one when you go down really fast on a roller coaster...
Im sorry that im such a trouble and keep bugging you i just need some one to tell me that i am doing the right thing...
Randomness
6 months ago
Reply ReportYeah you can post on here any time. Just remember not to be too graphic.