About this guide

A woman looking at her arm and thinking about a time when she hurt it and it had to be bandaged

A member of staff or a carer can support you to read this guide. They will be able to answer any questions that you have. 

About this guide

  • This guide is for anyone who does things to hurt themselves on purpose. 
  • It is for families and carers of people who hurt themselves on purpose.
  • This guide will help you understand why people hurt themselves and where you can get help.
     
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What is self-harm?

An arm with lots of cuts in it

Some people hurt themselves on purpose by: 

  • Cutting
  • Burning their body
  • Swallowing objects
  • Taking too many tablets
  • Pulling out their hair
  • Punching or biting themselves
     
A young woman thinking about taking tablets and being taken away in an ambulance

For some people, hurting themselves helps them deal with bad thoughts and feelings.

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Why do people hurt themselves?

a young woman looking down with arms crossed

It’s different for everyone, but these are some of the reasons why:

  • To try and cope with difficult thoughts and feelings.
  • To let other people know how you are.
  • To get people to listen.
  • To punish other people by hurting your own body.
     
A warning triangle sign next to someone holding a strip of tablets

Any kind of self-harm can be very dangerous like taking too many tablets. If you feel like this you should talk to someone straight away.

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Why do people want to stop?

Someone wrapping a bandage around another person's arm

There are lots of reasons to stop hurting yourself:

  • It hurts.
  • If a cut or burn gets infected, it is really painful.
     
A teenage girl pulling her own hair
  • Hurting yourself reminds you of what you are trying to get away from.
  • People treat you in a different way if you have lots of scars.
  • It upsets people you are close to.
     
Someone writing in a notebook

It can be useful to write down your reasons for wanting to stop.

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What can help?

A man with his hand on his chin thinking about something

Talk to your healthcare worker if you want to stop hurting yourself.

Keep a diary about your feelings and why you self-harm.

If you know what happens to make you hurt yourself, you can try to work out how to change things.

Doing something different can help take your mind off hurting yourself.
 

a green shopping bag

You could:

  • Spend time with family or friends.
  • Do some exercise – go for a walk.
  • Distract yourself – draw a picture.
  • Do something nice for yourself – go shopping.
     
A smiling man with his eyes closed listening to music
  • Try to relax – listen to some music, watch TV, read a magazine.
  • Stay away from things you might use to hurt yourself.
  • Talk to someone about how you are feeling.
     
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What if this doesn’t work and you feel like you have to hurt yourself?

A woman hiding her face behind her hands

Sometimes the feeling that you need to hurt yourself is too strong and nothing you do will make it go away.

someone writing a list in a diary

You could make a list of the reasons why you want to keep hurting yourself and a list of reasons to stop.

someone pinching the skin on their own arm

If this happens to you, try these things:

  • Try a less painful way of hurting yourself – try nipping yourself instead of cutting.
An arm with lots of cuts in it
  • Think about the scars that cutting yourself leaves on your skin.  Try not to cut deep into your skin.
  • Make sure you know how to keep cuts and burns clean.
     
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Where can I get help?

a young woman talking to someone on a telephone helpline

These organisations can give you help and advice:

Samaritans
Support for people in a crisis.
Telephone: 116 123
Email: jo@samaritans.org
www.samaritans.org
 

a lady wearing a telephone headset offering support and advice over the phone

Mind Infoline
Help, information and support.
Telephone: 0300 123 3393
Email: info@mind.org.uk
www.mind.org.uk
 

information icon - the letter i in a circle with a blue border

Rethink
Information and help for anyone who has mental health problems.
Advice Service: 0808 801 0525
Email: advice@rethink.org
www.rethink.org
 

information icon - the letter i in a circle with a blue border

The Mental Health Foundation
Mental health resources and information.
www.mentalhealth.org.uk
 

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Acknowledgement

Photosymbols credit

Easy Read version developed by:

  • Skills for People, Telephone: 0191 281 8737
    Skills for People is a registered charity no. 1069993
  • Many thanks to service users and healthcare staff who have contributed to the development of this guide

Adapted from Self-Harm - A Self Help Guide written by Dr Lesley Maunder and Lorna Cameron www.cntw.nhs.uk/selfhelp

Published by the Patient Information Centre
2022 Copyright, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
Ref, PIC/647/0422 April 2022 V3
Review date 2025
 

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