Understanding Self-Harm and How to Offer Support

Self-harm is a complex and often misunderstood behavior that can stem from deep emotional distress. It’s crucial to approach individuals who self-harm with empathy, respect, and sensitivity. Here’s how we can better support them.

The Importance of Respect and Privacy

When interacting with someone who has self-harmed, treat them with the same dignity and respect you would offer anyone else. Avoid judgmental language or reactions, as these can exacerbate feelings of shame or isolation. Ensure their privacy during assessments and discussions, especially when addressing sensitive topics.

Psychosocial Assessment

A thorough psychosocial assessment is essential. Whenever possible, conduct a one-on-one interview to explore private issues without the presence of family or carers unless the individual requests their support. This allows the person to speak openly about their feelings and experiences.

Emotional Support for Carers and Family

Family members and carers often experience significant emotional distress when a loved one self-harms. Offer them emotional support and guidance on how to provide a safe and supportive environment. Educate them about self-harm to reduce misconceptions and foster a more understanding approach.

Creating a Safe Environment

If the person is in a healthcare setting, ensure they are in a secure and supportive environment. Never leave them alone if they are at risk of self-harm. Provide a quiet, separate space with constant supervision to minimize distress. Remove any objects that could be used for self-harm.

Continuity of Care

Ensure continuity of care by coordinating with mental health specialists and community resources. Mobilize family, friends, and other support networks to monitor and assist the person during high-risk periods.

Assessing Imminent Risk

Determine if there is an imminent risk of self-harm or suicide by asking about current thoughts or plans, as well as any history of self-harm in the past month or year. If the risk is high, follow emergency protocols and provide immediate care.

Avoid Harmful Interventions

Avoid forced vomiting or administering oral fluids in cases of poisoning. Instead, consider activated charcoal if the person is conscious and consents, and seek medical attention promptly.

Supporting Children and Adolescents

For children and adolescents, recognize that developmental behaviors like tantrums or defiance are typical. However, frequent self-injury or aggression warrants professional assessment. Provide age-appropriate support and interventions.

Conclusion

Supporting individuals who self-harm requires compassion, understanding, and a structured approach to care. By prioritizing their emotional well-being and ensuring a safe environment, we can help them navigate their struggles and move toward recovery.

For more stories, please visit: youwillbeok