Self-harm refers to injuring or hurting yourself on purpose. Also known as self-injury, self-harm is a symptom of extreme emotional distress. Teens engage in different types of self-harm that can be hard to recognize or identify.
Unfortunately, this behavior is becoming increasingly common in teens. A recent analysis of data from the Centers for Disease Control reveals that up to 30 percent of teenage girls and 10 percent of boys say they have intentionally injured themselves. One study found that as many as 25 percent of young people engage in self-harm. And among LGBTQ teens, 63 percent report self-harming-behaviors.
These rates represent a steep rise over the past 10 years, especially among girls. Between 2001 and 2015, self-injury increased by 166 percent in girls aged 10 to 14 and 62 percent in girls aged 15 to 19. The majority of these increases involve the most common form of self-harm, cutting. Since 2009, the rate of cutting by younger girls has increased by 19 percent each year. Excessive scratching or cutting can result in tissue damage. Self-harm is serious. Studies indicate that self-harm is found in 40–60% of suicides.
Key Takeaways
- Teen self-harm is an unhealthy coping mechanism to release feelings of pain, tension, and anxiety.
- While self-harm is not considered a method for suicide, it is associated with an increased risk of suicide.
- Unexplained cuts, scratches, or bruises are one of the primary signs that a teen is self-harming.
- Treatment for self-harm addresses the underlying mental health issues catalyzing the behavior.
Teenagers and Self-Harm: Why They Do It
Why do teenagers cut themselves or use other forms of self-mutilation? Teens who cut or burn themselves are not attempting suicide. Instead, they are using methods of self-harm as an unhealthy coping mechanism to deal with difficult emotions. That’s why cutting and depression are often linked.
Self-harm in teens is a way for them to release feelings of pain, tension, and anxiety. These painful emotions may include anger, shame, grief, guilt, and self-loathing. They see self-injury as a way to feel more in control of their emotions, or they use it to distract themselves from their emotions or life circumstances. In addition, they may engage in self-harm because they want to punish themselves for what they see as their faults or flaws.
Moreover, teens sometimes injure themselves because the physical pain of self-harming seems better than numbness and emptiness that come with depression. In a Trevor Project survey on self-harm among LGBTQ youth, participants reported self-harming “to chane my emotional pain into something physical.”
Self-injury may bring a temporary feeling of calm and a release of tension. However, the painful emotions quickly return. This temporary relief is partly due to the body’s release of natural painkillers, such as endorphins, during self-injury. Some teens self-injure only a few times and then stop. But others continue repeatedly, over a long period of time. Therefore, self-harming can turn into a compulsive behavior.
Is Self-Harm a Mental Illness?
Self-harm or self-injury is not in itself a mental illness. Rather, it is an unhealthy coping mechanism for dealing with distress and anxiety, often as the result of an underlying mental health condition.
Several illnesses are associated with self-harming, including borderline personality disorder, depression, eating disorders, anxiety, and PTSD. Self-harm can occur across different mental disorders, highlighting its relevance as a manifestation of underlying psychological issues.
Teens and young adults are at the highest risk for self-harm. Some experts believe that teens who have experienced trauma, neglect, or abuse are at higher risk. Furthermore, teens who harm themselves often do so while under the influence of alcohol or drugs.
Questions?
We know that reaching out can be difficult.
Our compassionate team of experts is here to help.
Call us at 877-929-5105
or complete the form below.
Risk Factors for Self-Harm
A 2025 review published in Acta Psychological analyzed 777 studies on self-harm, also known as non-suicidal self-injury (NSSI). The research roundup found that adolescents with certain experiences are at higher risk of self-harm. These include:
- Being female: The research found that teen girls with depression are more likely to have body-image issues that increase the risk of self-harm
- Being LGBTQ+: This group is subjected to more bullying, and statistically doesn’t receive the same level of support as their straight, cisgender peers.
- Struggling with anxiety and depression: As we’ve explained above, these conditions heighten the risk of teens using self-harm as a temporary relief from symptoms. The more severe and long-lasting the symptoms, the higher the risk of self-harm becomes.
- Having a history of childhood trauma: For teens with unprocessed trauma, NSSI can serve as a unhealthy coping mechanism for managing negative emotions.
Social Media and Self-Harm
Teens usually self-harm in private. However, they may use self-injury as a way of bonding with others who also experience distress and pain.
Moreover, teens with friends who self-harm are more likely to try it themselves. In addition, teens seeking relief from painful emotions can easily find information online about how to engage in different types of self-harm.
There’s even a type of self-injury known as digital self-harm, in which in which teens anonymously post mean and hurtful comments about themselves on social media platforms.
The Impact of Technology on Mental Health
Technology may be linked to self-harm in other ways. Most relevant, research shows that social media activity increases unhappiness in teenagers. Recent research shows that depressive symptoms and suicide rates among adolescents increased between 2010 and 2015, especially among females. And teenagers who spent more time on social media and smartphones were more likely to report mental health issues.
Therefore, experts suggest that teens’ increased use of technology over the past decade may be linked to the increasing prevalence of self-harming behavior. Moreover, girls use social media more often than boys—and they also self-injure more frequently.
Furthermore, consumption of digital media takes away from time spent on healthier activities, such as sleeping, exercising, or spending time in nature. As a result, teens have fewer opportunities to develop positive methods for coping with stress.
The Link Between Self-Harm and Suicidal Behavior
While it is not considered a method for suicide, self harm in teens may be associated with an increased risk of suicide. According to one study, up to 70 percent of teens who self-harm have attempted suicide at another time, and 55 percent have made multiple suicide attempts.
The Trevor Project survey found that among LGBTQ young people who self-injured, 59 percent had seriously considered suicide in the past year. And 23 percent reported attempting suicide in the past year. As compared to LGBTQ young people who did not engage in self-harm in the past year, those who did had five times greater odds of seriously considering suicide and nine times greater odds of attempting suicide.
Why does self-harm increase the risk of suicide? In adolescents who repeatedly self-harm, the temporary calming effect of self-injury can stop working. Therefore, the distress and other negative emotions become overwhelming. In other cases, teens who self-harm frequently can become used to the physical pain. Therefore, they may be less frightened by the idea of attempting suicide. Hence, cutting and other forms of self-harm must be addressed with professional treatment as soon as they are discovered.
What Are the Different Types of Self-Harm?
Not all forms of self-harm look the same. One of the most common of the different types of self-harm is cutting, using a knife or other sharp object. Often teens cut themselves as a kind of ritual that leaves patterns on the skin. They may carve words or symbols on their skin.
But teens also use different forms of self-harm, including one or more of the following:
- Scratching, biting, or burning the skin
- Hitting or punching themselves or the walls
- Piercing their skin with sharp objects
- Pulling out hair
- Picking at scabs and wounds
- Inserting objects into the body
- Digital self-harm
- Overdosing on drugs or drinking to excess
- Exercising to the point of collapse or injury
- Getting into fights in which they are likely to be hurt
- Banging head or body against walls and hard objects
- Having unsafe sex
The Role of Self-Injury in Teen Lives
Self-injury, often referred to as self harm or non suicidal self injury (NSSI), can become a significant part of a teenager’s life when they are struggling with emotional pain or low self esteem. For many young people, self harm behaviors are not about seeking attention or showing weakness, but rather a coping mechanism to manage overwhelming feelings or mental health conditions. People who self harm may use these behaviors to express emotions they find difficult to put into words, or to communicate distress when they feel misunderstood or unsupported.
Unfortunately, self injury can be life threatening and may result in serious physical harm, as well as long-term mental health complications. It can also increase the risk of suicidal behavior, especially if underlying mental health conditions are left unaddressed. That’s why it’s so important for family members, educators, and mental health professionals to recognize the signs of self harm and offer compassionate support. By understanding the role self injury plays in a teen’s life, we can help them find healthier ways to express emotions, build self esteem, and address the root causes of their distress.
Self-Harm Symptoms
Parents and other adults who work with teens should learn the red flags related to different forms of self-harm. Here are some signs and symptoms that may indicate that a teen is self-harming:
- Unexplained cuts, scratches, bruises or other wounds, often on the wrists, arms, thighs, or torso, which they explain as the result of accidents
- Keeping sharp objects on hand
- Wearing clothes that cover up the skin, such as long sleeves or long pants, even in hot weather
- Impulsive and unstable behavior
- Expressing feelings of hopelessness or worthlessness
- Difficulties with relationships
- Blood stains on bedding, clothing, towels, or tissues
- Having sharp objects in their possession, including razors, safety pins, nail scissors, knives, needles, shards of glass, or bottle caps
- Spending long periods of time alone, often in the bathroom or bedroom
- Increased isolation and social withdrawal
- Avoiding situations in which they need to reveal skin, such as swimming or changing in a locker room.
Complications and Consequences of Self-Injury
Self-injury can cause dangerous and even fatal health consequences. Furthermore, it can have a continued negative impact on mental health.
Possible complications of self-harm include:
- Increased shame, guilt, and low self-esteem
- Wound infections
- Permanent scars or disfigurement
- Broken bones
- Isolation that results in losing friendships
- Higher risk of major depression, drug and alcohol addiction, and suicide.
Addressing Underlying Issues in Teen Self-Harm
Addressing the underlying issues behind self harm is a crucial step in helping teens heal and move forward. Self injury, including non suicidal self injury (NSSI), is often a sign of deeper emotional pain and unresolved mental health conditions. Many teens who engage in self harm behaviors are struggling with low self esteem, depression, anxiety, or trauma. Mental health professionals play a vital role in helping teens uncover and address these root causes, guiding them toward healthier coping mechanisms and improved mental health.
Family members and caregivers can make a significant difference by offering support and understanding, rather than judgment. Teens who self harm often feel isolated by shame and guilt, making it even more important for loved ones to communicate openly and compassionately. A mental health professional can provide guidance on how to talk with teens about their struggles and help them access treatment that addresses both the self harming behaviors and the underlying mental health conditions. By focusing on the root causes, teens can build self esteem and learn new ways to manage emotional pain, reducing their reliance on self injury.
Prevention Strategies for Self-Harm in Teens
Preventing self harm in teens starts with promoting healthy coping mechanisms and reducing risk factors in their environment. Teens often engage in self harm behaviors as a way to manage difficult emotions, such as anxiety, depression, or interpersonal difficulty. Teaching teens positive coping mechanisms—like exercise, mindfulness, and creative expression—can empower them to handle stress and negative feelings in a healthier way.
Another important prevention strategy is to limit access to sharp objects and other means that could be used for self harm. Parents and caregivers should be aware of potential risks in the home and take steps to create a safer environment. Monitoring a teen’s mental health and being alert to changes in mood or behavior can help identify early warning signs of self harm or suicidal behavior. If concerns arise, seeking help from a mental health professional is essential. By fostering open communication and supporting teens in developing healthy coping mechanisms, families can help prevent self harming behaviors before they start.
What to Do When a Loved One Is Self-Harming
When a loved one is self-harming, helping them access treatment is the most important goal. Parents or guardians should take the necessary steps to get professional help for their child or teen. Your pediatrician is a good place to start. Teenagers whose friends are struggling with self-harm should suggest that they talk to their parents, a school counselor, a teacher, or another trusted adult.
Subsequently, family members and friends can support loved ones in a variety of ways. First, don’t be angry with your loved one, even if you’re scared or confused. Yelling, threats, and criticism won’t help. In fact, they may even increase the risk of continued self-harm.
Also, parents need to face their own discomfort or confusion about self-harming. In addition, educate yourself about this behavior and why it happens. Thus, you can learn about the symptoms, the different types of self-harm, the underlying issues, and how to help prevent relapse in self harm.
Furthermore, remember not to judge a teen who is self-injuring. Most likely, they already feel distressed and ashamed. Express your caring and your support, no matter what. Let them know that you’re available to talk about what they’re going through if they’d like to share. In addition, find ways to spend time together doing healthy, positive activities.
Treatment for Self-Harming Behavior
Treatment for self-injury addresses the root causes of the self-destructive behavior. Therefore, treatment for anxiety or depression may be necessary. Other underlying issues might include low self-esteem, dysfunctional family dynamics, or other mental health conditions, such as borderline personality disorder.
In addition, teens learn new coping mechanisms for dealing with difficult circumstances or painful emotions. Treatment provides them with different ways to stop self-harm behaviors by substituting other, healthier behaviors, such as breathing exercises and compassionate self-talk.
For some adolescents who injure themselves, residential or outpatient treatment may be appropriate. Therapists may offer one or more of the following modalities for addressing different forms of self-harm.
- Cognitive Behavioral Therapy: Cognitive Behavioral Therapy (CBT) helps teens to identify and modify thought and behavior patterns. Therefore, they learn how to shift their outlook from the negative toward the positive and how to identify triggers for self-harm.
- Dialectical Behavioral Therapy: Dialectical Behavioral Therapy (DBT) helps teens acknowledge that they are using self-harm to cope with underlying issues. Subsequently, they develop ways to modify this behavior. In addition, they address the root causes of self-harming.
- Meditation and yoga: An increasing number of studies show that mindfulness meditation can help support mental health. Meditation encourages us to witness our emotions from a distance rather than getting caught up in them. Therefore, teens learn to cope with their emotions and manage distress without self-harming. In fact, a review study at Johns Hopkins found that meditation was just as effective as antidepressants in treating symptoms of anxiety and depression.
Building Resilience in Teens at Risk of Self-Harm
Building resilience is a powerful way to help teens at higher risk of self harm develop the skills they need to cope with difficult emotions and life challenges. Teens who have experienced trauma, abuse, or neglect are more vulnerable to self harm behaviors, especially if they are also dealing with mental health conditions like borderline personality disorder or eating disorders. Mental health professionals can support these teens through therapy and counseling, teaching healthy coping mechanisms such as problem-solving, emotional regulation, and effective communication.
Positive relationships with family members, caregivers, and peers are also essential for building resilience. When teens feel connected and supported, they are better equipped to manage stress and negative emotions without turning to self harm. Addressing underlying mental health conditions and providing ongoing support can help teens replace self harming behaviors with healthier ways of coping. By fostering resilience, we empower young people to navigate life’s challenges and protect their mental health and well-being.
Replacing Self-Injury with Positive Coping Skills
Here are some effective strategies that can help teens replace self-harm with positive experiences. Moreover, these different ways to stop self-harm will also help teenagers build self-esteem and authentic connections.
Social Support
Multiple studies have shown that social relationships improve mental and physical health. The more support we have, the more resilient we are. Teens who self-injure will benefit from finding people they trust, who care about what they’re going through. Their support network can include family, peers, guidance counselors, and mentors.
Unplugging
Unfortunately, teens who self-harm sometimes find websites that support or glamorize this behavior. Therefore, they are drawn back into the habit. Thus, unplugging as much as possible is important for teens who engage in different forms of self-harm. Moreover, reducing digital media activity will support mental health overall.
Exercise
Research shows that exercise supports mental health by increasing the body’s production of endorphins. These are the brain’s “feel good” chemicals. Moreover, doing a physical activity can increase a teen’s feelings of mastery and self-confidence. As a result, they feel less of an urge to self-harm.
Taking Control
For some people, getting the facts and making plans can help counteract stress and negative emotions. If teens have a big project looming, they can create a schedule that will keep them on track. If they’re facing an unknown situation, they can do some research so they know what to expect. Therefore, teens are able to reduce feelings of being out of control. Thus, self-harming behavior also goes down.
Creativity
Writing, art, music, and dance can all serve as ways to express emotions. For example, writing about what’s creating stress and anxiety in your life helps you to identify outside stressors. Moreover, it can help you pinpoint what’s going on internally.
Read “The Power of Writing and Journaling for Mental Health.”
What to Do in an Emergency
While self-harm is not the same as a suicide attempt, it can be life threatening. Therefore, take these emergency actions if someone is actively self-harming:
- Do not leave the person alone.
- Remove anything that could be used in a suicide attempt, including firearms, alcohol, drugs, razors, or other sharp objects.
- Call the US National Suicide Prevention Lifeline at 988.
- Take the person to an emergency room or seek help from a medical or mental health professional.
Treatment for Teen Self-Harm and Suicidal Behavior
At Newport Academy, we address teen self-harming and suicidal thoughts by treating the mental health conditions that cause adolescents’ unmanageable feelings of distress and discomfort. By healing the underlying causes of teens’ suffering, we reduce triggers for self-harm and suicidal thoughts. Moreover, we reconnect parents and children through our family-focused treatment, so that teens who are struggling can turn to parents for support when they are experiencing difficult emotions.
During their time in treatment, clients also learn healthy coping mechanisms that replace maladaptive behaviors like self-harming and suicidal behaviors. They learn to recognize their triggers, identify their emotions, and calm themselves. And they become part of a supportive community of peers in recovery—a community that continues to inspire and motivate them after treatment, through our robust Alumni Program.
Seeking help for self-harm is as important as seeking care for any physical health condition. Contact us today to learn more about how we bring teens and families together and give adolescents the tools they need to recover and thrive.
Sources
Acta Psychologica. 2025 Sept; 259: 105306.
American J Public Health. 2018 Aug;108(8):1042–1048.
JAMA. 2017; 318(19): 1931–1933.
Clin Psych Sci. 2017 Nov; 6(1): 3–17
JAMA Intern Med. 2014; 174(3): 357–368.
J Health Soc Behav. 2010; 51(Suppl): S54–S66.
American Foundation for Suicide Prevention
