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             Understanding Self-harm                          What is Self-harm?
             Some children and young people self-harm to cope   Self-harm is a behaviour that is done to deliberately
             with difficult and distressing feelings. This may be   harm oneself. Although some people who self-harm
             through hurting themselves in some way or by     may experience suicidal thoughts, self-harm is more
             putting themselves in risky situations.          commonly used as a way of managing difficult
                                                              emotions It does this by helping to regulate intense
             Sometimes this can be simply experimenting in risk   feelings.
             taking behaviours in the same way as experimenting
             with drugs and alcohol and may not always be a sign   Self-harm can include:
             of difficult or distressing feelings.
                                                              •  Self-cutting
             It is not usually about ending their life but often a   •  Hitting, bruising, and scratching
             way of trying to manage overwhelming feelings.
             Sometimes young people feel unsure whether they   •  Intentionally taking too much or too little
             want to die or not. They may talk about suicide when   medication
             in reality they just want to stop feeling the way they   •  Burning
             do or escape the situation they’re in.
                                                              •  Suffocating
             Some children and young people do have suicidal
             thoughts and feelings and sometimes they harm    •  Going without food or binge-eating
             themselves in ways that are very dangerous, and it is   •  Putting yourself in risky or dangerous situations
             possible that they could accidentally kill themselves.
                                                              •  Getting into a fight you know you can’t win
                                         ?                    Why do people self-harm?
                                                              •  Drinking alcohol to the point that you lose
                                                                consciousness




                                                              Self-harm can fulfil several different functions:
                                                              •  to manage extreme emotional upset

                                                              •  to reduce tension
                                                              •  to provide a feeling of physical pain to distract
                                                                from emotional pain
                                                              •  to express emotions such as hurt, anger or
                                                                frustration
                                                              •  a form of escape
                                                              •  an effort to regain control over feelings or
                                                                problems
                                                              •  an attempt to punish themselves
                                                              •  to express their emotional pain so they will be
                                                                taken seriously and get help

                                                              •  to identify with a peer group












                   Portus - A Safe Space - Guidance on Self-harm and Suicide Prevention for Schools, Colleges and Youth Services.
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