Spot the Signs of Self-Harm in Children & Teenagers1 March, 2019
Self Injury Awareness Day (also known as Self Harm Awareness Day) is a global campaign where people choose to be more open about their own self-harm and awareness organisations make special efforts to raise awareness about self-harm and self-injury.
Dave Woodward our Co-ordinating Therapist from ISP Fostering is a Qualified Social Worker and Psychotherapist and specialises in emotional trauma, depression, eating disorders and anxiety.
For Self Harm Awareness Day, Dave has shared his experience and learning so that he may be able to support families who may be worried about self-harm.
What is self-harm?
Self-harm can take many forms but is ultimately when an individual deliberately hurts or injures themselves. Sadly, Childline reported that they delivered over 22,000 counselling sessions about self-harm in 2016/17, making it one of the most common reasons for children and young people to reach out for support.
Ways of self-harming can include cutting, pinching, picking at skin, hitting yourself, overdosing, taking poisonous substances or even extreme body art. It may be that someone uses just one form of self harm, or that they use different forms at different times.
What causes a child/young person to start self-harming?
The reasons why children and young people self-harm will very much depend on the individual, but many state they use it as a distraction, normally from painful memories or intrusive thoughts. However, there are many that won’t know exactly why they self-harm but use it as a way to bring relief or to communicate distress.
There could be certain triggers, such as bullying or pressures at school, or there could be more complex reasons including depression and trauma.
It also brings a sense of control to those who may be struggling with immense change in their life, or they could use it as punishment for something they feel guilty about.
There are many reasons, so it is important to not make assumptions and keep an open mind.
How can a parent or carer spot the signs of self-harming?
This will greatly depend on the child or young person. Some may be very secretive, while others may be happy to talk about their self-harm. There are some signs to look out for though, that could indicate your child is self-harming:
- Unexplained injuries
- Covering arms and legs and keeping them hidden
- Reluctance to take parts in sports such as swimming or PE
- Mood changes
- Being withdrawn and non communicative
- Increased amounts of time online
- Finding self-harm paraphernalia in their bedroom (blades, sharp objects etc)
What should parents do if they think a child is self-harming?
Most importantly, don’t be critical and don’t panic. If they are self-harming, it does not necessarily mean they will do this forever.
Be compassionate and accepting. Ask them questions about their self-harm, but be patient if they are not ready to talk about it. Show you understand and don’t interrupt if they are talking openly.
You may need to provide first aid to injuries, and if these are serious seek medical assistance.
Speak to other professionals who may be involved with your child’s journey, such as school and clubs.
There are various techniques that can be used to help those who self-harm, such working on harm minimisation, but seek professional help from a GP or councellor first to find out what will work best for your child.
Other useful support and advice organisations include:
ISP Foster Carers should speak to their Supervising Social Worker or any of the central team if they are concerned a young person in their care may be self-harming. The child’s local authority Social Worker should also be informed.
What’s the journey to recovery?
Some children and young people will recover with just the support of their families, while others may need some professional support. When cases are more severe and complex, the road to recovery may take longer.
Each case and child is different, and it may be that there are other factors, such as depression, which will affect recovery time. There can be an addictive element to self-harming and it can become very habitual to some people.