Why People Harm Themselves

March 1 is self-harm awareness day. Many might ask “Why would they do something like that?” “Doesn’t it hurt?” “Why can’t they just stop".

Self-harm or self-injury means hurting yourself on purpose. To understand self-harming, we must first discuss the build-up of emotions and trauma.

Emotions—like anger, fear, and sadness—are hard-wired survival responses to our immediate environment. These complex emotions can feel intolerable to some. People typically resort to self-harm or self-injurious behavior when they're overwhelmed by emotions. Without knowing how to cope, self-harming can become a release to the build-up of emotional/intense pain.

Here are some of the signs and symptoms of self-injury:

  • Scars, often in patterns

  • Fresh cuts, scratches, bruises, or other wounds

  • Excessive rubbing of an area to create a burn

  • Keeping sharp objects on hand

  • Wearing long sleeves or long pants, even in hot weather

  • Frequent reports of accidental injury

  • Difficulties in interpersonal relationships

  • Behavioral and emotional instability, impulsivity, and unpredictability

  • Statements of helplessness, hopelessness, or worthlessness

Several different kinds of therapy can help, depending on the diagnosis.

  • Psychodynamic therapy focuses on exploring past experiences and emotions towards changing self beliefs.

  • Cognitive-behavioral therapy focuses on recognizing negative thought patterns and increasing coping skills

  • Dialectical behavioral therapy can help a person learn positive coping methods using emotion regulation techniques.

Here are some tips to prevent self injurious behavior.

  • Holding ice-cubes


  • Gently tugging at a rubber band on the wrist

  • Grabbing paper and shredding or ripping it 


  • Cold water (on face, shower, or drinking)

  • Deep Breathing

  • Releasing energy (run, exercise, write, yoga)

These tips are intended to shift the focus, body temperature, or release a build up of stressful energy in the body.

For further information, support, and consultation please consult with a professional.

Crisis helpline:

https://www.crisistextline.org/topics/self-harm/#what-is-self-harm-1

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