Self-Harm Causes and Treatment | Recovery Support
Get help if you’re self harming, even if it’s just a little bit, or if you’re thinking about doing so. Intentional harm to oneself, in any form, is a symptom of underlying problems that must be addressed.
Clinically Reviewed by Lauren Barry, LMFT, MCAP, QS
Medically Reviewed by Ali Nikbakht, PsyD
Updated on January 29, 2026 — Editorial Policy | Research Policy
By We Level Up WA | Author Leigh Brosof, PhD | Editorial Policy | Research Policy
Self-harm is when someone hurts their own body on purpose. This can include cutting, burning, hitting, or other actions that cause injury. People who self-harm often do it to cope with strong emotions, stress, or pain. It is not a way to get attention, but a sign that someone is struggling inside and needs help.
This page covers why people self-harm, self harm warning signs, self-harm prevention strategies, and self-harm emotional support. Keep reading for simple facts and kind steps forward.
Why People Self-Harm
People self-harm for many reasons. It often helps release strong feelings that feel too big to handle. When sadness, anger, guilt, or numbness build up, hurting the body gives short relief, like turning off a loud alarm in the mind.
Common reasons include coping with emotional pain, feeling in control when life feels out of control, punishing yourself for feeling bad, or expressing hurt that words cannot say. Past hard things like abuse, bullying, or family problems raise the chance. Mental health issues like depression, anxiety, or trauma often play a part too.

Self-harm is a sign of deep distress, not attention-seeking. Understanding why helps you feel less shame and more hope for change.
Self-Harm Warning Signs
Spotting self-harm warning signs early lets you get help fast. People often hide it because of shame, but these clues show up:
- Fresh cuts, burns, scratches, bruises, or scars in patterns, often on arms, legs, or hidden spots.
- Wearing long clothes in hot weather to cover marks.
- Keeping sharp objects, lighters, or bloody items around.
- Spending long time alone in bathrooms or bedrooms.
- Sudden mood changes, like calm after being very upset.
- Pulling away from friends, family, or usual fun things.
If you see these in yourself or a loved one, it is okay to ask gently. Early talk can open the door to support.
How Self-Harm Relates to Addiction
People who struggle with low self-esteem substance abuse or addiction may also self-harm. Substance use can make emotional pain stronger and reduce a person’s ability to cope. Drugs or alcohol may temporarily numb feelings, but they often worsen shame and sadness.
This creates a cycle where self-esteem drops, emotions feel heavier, and harmful behaviors continue. Recovery programs that address both self-esteem and addiction recovery help break this cycle and teach safer ways to manage feelings.
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Self Harm Statistics
Nonsuicidal self-injury (NSSI) is typically associated with emotional and psychiatric distress. It is most common among young adults. Lifetime rates in these populations are about 15% to 20%, and onset typically occurs around age 13 or 14. In contrast, about 6% of adults report a history of NSSI. It is unclear whether the lower lifetime rate in adults reflects an increase in NSSI among recent cohorts of adolescents or an artifact of memory, by which most adults who self-injured as adolescents do not recall their NSSI. Generally speaking, rates of NSSI appear to be similar across different countries.
5%
More than 5% of people seen at a hospital after self-harm will have committed suicide within 9 years.
Source: NCBI
50%
About 50% of people seek help for their self-harm, but only from friends instead of professionals
Source: NCBI
45%
45% of people use cutting as their method of self-injury
Source: NCBI
Self-Harm Causes and Treatment
Self-harm causes mix emotional pain with trouble handling it in healthy ways. Triggers include stress from school, work, relationships, or past trauma. Poor coping skills make feelings feel unbearable.
Treatment focuses on the root pain. Talk therapy like CBT helps change negative thoughts and build better skills. DBT teaches how to manage strong emotions and stay safe. Group support reduces loneliness by sharing stories. Medicine helps if linked issues like depression exist.
Holistic care adds exercise, art, or mindfulness for calm. Inpatient stays offer safety during hard times. Many people stop self-harm with ongoing care and learn to feel emotions without harm.

Self-Harm Prevention Strategies
Self-harm prevention strategies help stop urges before they grow. The goal is to distract, delay, and replace harm with safe actions. Try these:
- Delay the urge by waiting 10-15 minutes and doing something else, like walking or listening to music. The feeling often passes.
- Distract with strong senses: hold ice, snap a rubber band on wrist, draw on skin with marker, or scream into a pillow.
- Use calming tools: deep breathing, meditation, journaling feelings, or talking to a trusted person.
- Make a safety plan: list triggers, safe coping ideas, and people to call when urges hit.
- Build healthy habits: exercise, eat well, sleep enough, and limit things that raise stress.
Practice these daily. Over time, they become stronger than old urges.
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Self-Harm Emotional Support
Self-harm emotional support means feeling heard and cared for without judgment. Talk to someone who listens calmly and says your feelings matter. Friends, family, or hotlines provide quick help.
In therapy, you learn to name emotions and express them safely. Support groups let you hear others understand your pain. Kind words from loved ones remind you that you deserve care.
Emotional support builds trust and reduces isolation. It shows you are not alone in the fight. Reach out – even a small message can start healing.ronment. This collaborative approach ensures we develop a complete picture of your needs before creating your personalized treatment plan.
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When to Seek Immediate Help
Self-harm can become dangerous. If someone is at risk of serious injury or suicide, immediate action is needed. Call or text 988 in the U.S. to reach trained crisis counselors. Local hospitals and crisis centers can also provide urgent care and safety planning.
Even if self-harm seems minor, getting help early prevents harm from escalating. Professional support and safety plans are key to recovery.

Tips for Daily Help and Recovery
Add these easy steps to your day:
- Track feelings to spot patterns and triggers early.
- Do kind things for yourself, like a favorite snack or rest.
- Connect with positive people who lift you up.
- Try creative outlets like drawing or music to release feelings.
- Celebrate small wins, like choosing a safe coping tool.
Be patient. Change takes time, but each safe choice builds strength.
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There are many resources available to help you better manage your mental health. Your first step should be to reach out to your physician or a mental health professional for a thorough evaluation. Additionally, you may want to consider joining a support group, such as a 12-step program or an online support community, to help you connect with others facing similar challenges. In addition, many self-help techniques are available, such as mindfulness, relaxation, and cognitive-behavioral therapy.
Support and understanding from your friends and family can also be tremendously beneficial in helping you manage your depression. It can be helpful to speak openly with them about how you’re feeling and the challenges you’re facing. Additionally, it can be a useful strategy to identify activities and people that positively influence your mental health and seek them out whenever you feel overwhelmed by depression.
Frequently Asked Questions
Why do people self-harm?
People self-harm to cope with big emotional pain, feel in control, punish themselves, or release tension when feelings feel unbearable.
What are common self-harm warning signs?
Signs include unexplained cuts or burns, wearing covering clothes in warm weather, hiding in private, mood swings, and keeping sharp items nearby.
What are good self-harm prevention strategies?
Delay urges, distract with ice or exercise, breathe deeply, make a safety plan, and talk to someone trusted to ride out the feeling.
How can I give self-harm emotional support to someone?
Listen without judging, stay calm, show you care, validate their feelings, and encourage professional help gently.
Does self-harm mean someone wants to die?
No, most times it is about coping, not ending life. But it raises suicide risk, so getting help fast is very important.
Where can I find help for self-harm?
Talk to a doctor, therapist. Centers like We Level Up Washington offer caring treatment in Spokane Valley.
Final Thoughts
Self-harm comes from real pain, but it does not have to stay in your life. Understanding why people self-harm, spotting self-harm warning signs, using self-harm prevention strategies, and getting self-harm emotional support can lead to healing and peace. You deserve to feel safe, valued, and free from this cycle. Many people recover and live full, happy lives with help.
Take a small step today. Call We Level Up Washington at (509) 348-4077 for a free, kind talk. Our team in Spokane Valley listens and guides without judgment. Help is here 24/7. You are worth fighting for – reach out now for brighter, safer days ahead.
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