Self-injury—sometimes referred to as self-harm or self-mutilation—is when a person intentionally causes physical harm to their own body. While it can be difficult to talk about, it’s an important issue affecting many teens and young people. Common forms of self-injury include cutting, scratching, burning the skin, or hitting oneself. These behaviors are often misunderstood, which can make it harder for those struggling to get the support they need.
One of the most common myths about self-injury is that individuals who engage in it want to die. In reality, self-injury is often a coping mechanism rather than a suicide attempt. Many teens use it as a way to deal with overwhelming emotions, stress, or internal pain. When feelings become too intense or hard to express, self-injury may provide a temporary sense of relief, control, or even a brief feeling of being “alive.” However, what may begin as a coping strategy can quickly become a harmful habit, increasing the risk of serious injury or infection.
Recognizing the signs of self-injury is an important step in offering support. Some common warning signs include:
- Unexplained cuts, burns, or scars
- Frequent or inconsistent explanations for injuries
- Bloodstains on clothing, bedding, or tissues
- Possession of sharp objects
- Wearing long sleeves or pants even in warm weather
- Withdrawing from others or spending excessive time alone
- Noticeable irritability or emotional distress
While these signs don’t always confirm self-injury, they may indicate that someone is struggling and could benefit from support.
If you are self-injuring, it’s important to know that you are not alone—and you don’t have to face this by yourself. Reaching out to someone you trust, such as a friend, family member, counselor, or mentor, can be a powerful first step. It may also help to identify the thoughts, situations, or emotions that trigger the urge to self-harm. Developing alternative coping strategies can make a difference over time. Some people find relief in safer substitutes, such as drawing on their skin with a marker, holding an ice cube, or engaging in creative or physical outlets that help release intense emotions.
If you’re concerned about someone who may be self-injuring, approaching them with compassion is key. Being supportive, curious, and non–judgmental can help create a safe space for them to open up. Encourage honest conversations about their feelings and gently suggest healthier ways to cope. It’s also important to guide them toward additional support, whether that’s a trusted adult, a mental health professional, or a confidential hotline like Teen Line or the 988 Suicide & Crisis Lifeline.
For teens seeking peer support, help is available. You can reach Teen Line by calling (800) 852-8336 between 6–10 p.m. PST or by texting TEEN to 839863 between 6–9 p.m. PST.
If you or someone you know is experiencing a mental health or suicidal crisis at any time, you can call or text 988 to connect with trained counselors 24/7. These resources are free, confidential, and there to support you when you need it most.
Self-injury can feel isolating, but support, healing, and healthier coping strategies are possible. Starting the conversation—whether for yourself or someone else—can be the first step toward change.
Download our self-injury resource flyer here:
