Every year on March 1st, Self-Harm Awareness Day shines a light on a topic that remains shrouded in silence and misunderstanding. For many, self-harm, is a deeply personal struggle, often hidden behind smiles, long sleeves, and quiet resilience. But behind every unseen scar is a story of survival, strength and hope. This day is not solely about raising awareness but also about breaking the stigma and encouraging difficult conversations.
What is self-harm?
Self-harm, also known as non-suicidal self-injury (NSSI), refers to the deliberate act of hurting oneself as a way of coping with emotional distress. Common methods include cutting, burning, scratching, and hitting. It is often a response to overwhelming emotions, a means to regain a sense of control, or an attempt to express pain that words cannot convey.
Contrary to popular belief, self-harm is not a plea for attention but rather a coping mechanism for individuals who may feel trapped in their emotions. There is no single reason why someone might self-harm, and the complexity of each individual’s experience cannot be fully captured in a single blog. However, we do know that self-harm can affect people of all ages, genders, and backgrounds. While it does not always indicate suicidal intent, it is a serious concern that should never be ignored.
The emotional and psychological impact
Self-harm is often associated with underlying mental health conditions, including but not limited to depression, anxiety, borderline personality disorder, and post-traumatic stress disorder. It is not merely a behaviour but a symptom of deeper emotional struggles. People who engage in self-injury may experience overwhelming emotions, feelings of worthlessness, or a profound sense of disconnection from others. For some, self-harm provides a temporary release, a brief respite from intrusive thoughts, emotional numbness, or an inability to express pain in words. However, this relief is short-lived, often followed by intense feelings of guilt, shame, and further distress.
The cycle of self-harm can be incredibly difficult to break, as it becomes a learned response to stress and emotional turmoil. What may begin as an occasional act of coping can evolve into compulsive behaviour, reinforcing negative emotions and making it harder to find alternative ways to manage distress. Over time, self-injury can result in lasting physical scars, nerve damage, infections, and, in some cases, accidental life-threatening injuries. Additionally, the secrecy and stigma surrounding self-harm can prevent individuals from seeking help, reinforcing feelings of isolation and despair.
Breaking this cycle requires compassion, understanding, and a focus on the root causes rather than just the behaviour itself. Professional therapy, such as Cognitive-Behavioural Therapy (CBT) and Dialectical Behaviour Therapy (DBT), can help individuals develop healthier coping strategies and address the underlying emotions that drive self-harm. Support from loved ones also plays a crucial role, as it offers a safe, non-judgemental space where individuals feel heard and valued can make a significant difference. Recovery is possible, and with the right support and resources, individuals who struggle with self-harm can learn to manage their emotions in healthier, more constructive ways.
Breaking the Stigma
The stigma surrounding self-harm often prevents those struggling from seeking the help they need. Myths and misconceptions can lead to shame, isolation, and fear of judgement, making it even harder for individuals to reach out.
Misinformation about self-harm can contribute to the stigma and make it even more difficult for those affected to open up. Some of the most common myths include:
- “Self-harm is just attention-seeking.”
In reality, most people who self-harm go to great lengths to hide their injuries. It is often a deeply private and personal way of coping with pain, not a way to seek validation or manipulate others. Even if someone does disclose their self-harm, it is a cry for support, not attention.
- “Only teenagers self-harm.”
While self-harm is more commonly associated with young people, it affects individuals of all ages. Adults, including those who have struggled with mental health issues for years, may also engage in self-harm as a way to cope with difficult emotions.
- “People who self-harm are suicidal.”
Although self-harm is a serious concern, it does not necessarily mean that someone wants to end their life. Many people use self-injury as a way to manage emotional distress rather than an attempt to die. However, self-harm can increase the risk of suicidal thoughts over time, which is why offering support is so important.
- “If someone stops self-harming, they’re ‘better’ now.”
Recovery from self-harm is not always linear. Just because someone stops does not mean they are no longer struggling with the emotions that led them to self-injure in the first place. Healing takes time, and setbacks do not mean failure.
Many who self-harm suffer in silence, believing that no one will understand or that they will be met with criticism rather than compassion. Recognising self-harm as a sign of emotional pain rather than a personal failing is crucial in creating a supportive environment where people feel safe to ask for help.
Breaking the cycle of self-harm can be incredibly difficult, but no one should have to face it alone. Reaching out—whether to a trusted friend, family member, therapist, or support group—provides a safe space to express emotions, gain perspective, and explore healthier coping strategies. While fear and stigma may make seeking help feel daunting, struggling in silence only deepens isolation and distress. There is strength in vulnerability, and taking the step to ask for support is a courageous move toward healing.
- Listen without judgement – Offer a safe space for them to talk without fear of criticism or shame.
- Educate yourself – Learn about self-harm to better understand what they are going through.
- Encourage professional help – Suggest speaking with a therapist, counsellor, or support group.
- Check-in regularly – Let them know they are not alone and that their feelings are valid.
- Help identify healthier coping strategies – Encourage alternative ways to manage stress, such as journaling, exercise, creative outlets, or mindfulness techniques.
- Be patient and understanding – Recovery is not a linear process, and relapses may occur. Showing compassion and patience can be invaluable in their journey.
- Avoid triggers and harmful conversations – Be mindful of the language used when discussing self-harm and mental health, as certain phrases or imagery may be distressing.
Self-harm awareness in the digital age
The rise of social media has transformed the way we talk about self-harm, offering both challenges and opportunities. On one hand, digital platforms can expose vulnerable individuals to harmful content, including triggering images, discussions that normalise self-injury, and misinformation about mental health. The anonymous nature of the internet can sometimes make it easier for harmful behaviours to spread unchecked. However, on the other hand, social media has also become a powerful tool for education, advocacy, and support.
Many mental health advocates, support groups, and survivors use online spaces to share their personal journeys, challenge the stigma surrounding self-harm, and encourage open conversations about mental health. These stories can be incredibly powerful, reminding those who are struggling that they are not alone and that recovery is possible. Through blogs, forums, podcasts, and social media pages dedicated to mental health, people can find reassurance, guidance, and solidarity from others who truly understand their experiences.
The digital world has also provided access to crucial resources that may not have been readily available in the past. Crisis helplines, mental health apps, virtual therapy sessions, and online support communities have made it easier than ever to seek help. Many organisations actively monitor social media to intervene when someone expresses thoughts of self-harm or distress, offering immediate support and professional resources. Positive online communities promote recovery-focused discussions, provide coping strategies, and encourage help-seeking behaviours in ways that can make a real difference.
However, while online spaces can be supportive, they should never replace professional help. If you or someone you know is struggling, reaching out to a mental health professional, a trusted friend, or a support group is essential. The internet can be a great starting point for finding information and reassurance, but true healing comes from meaningful, real-world connections and professional guidance. You are not alone, and help is available. Reaching out may feel daunting, but it is one of the most important steps toward recovery and a healthier future.
Getting the support you need
Self-Harm Awareness Day is a powerful reminder that no one has to suffer in silence. Whether you share your story, wear an orange ribbon (a symbol of self-harm awareness), or simply offer a listening ear, your support can make a difference.
Recovery from self-harm is possible, but it takes time, patience, and the right support. Healing doesn’t mean your struggles vanish overnight—it means learning healthier ways to cope and recognising that you are worthy of care and compassion. No one should have to face this journey alone, and there is always hope beyond the pain.
If you or someone you know is struggling, please reach out. Your scars—visible or unseen—do not define you. They are a testament to the battles you have fought and the strength you continue to show.
For urgent support, contact Samaritans at 116 123. If you’re considering therapy and need guidance on the best options for you, UKAT is here to help—reach out today.