Some adults dismiss self-injurers as manipulators and attention seekers, but self-abuse is most often a hidden, secret problem. A myth is that self-abusers want to commit suicide. In fact, the opposite is true. The cutting helps them relieve emotions that might lead to suicide. However, a serious concern is that cutters risk danger each time they injure themselves. They may misjudge the depth of a cut or the wound may become infected.

If individuals who self-harm do not receive professional help, they may develop an addiction. Cutting or other self-injuries can be stopped, but the process usually takes a long time. A referral to a therapist who has expertise in this area typically needs to be made. Through therapy the self-injurers learn that is it okay to feel a variety of emotions and how to express them openly. A therapist teaches them alternative behaviors so that they can release their tension in harmless ways. Methods a therapist might share include relaxation and breathing techniques, meditation, exercise, art, writing, or singing. Support groups may also be beneficial. The self-injurer needs to understand the underlying motives for their behavior and take responsibility for, and control over, their actions.

What can parents and teachers do?

• Respond to the child without judgment.
• Get him or her professional help.
• Model appropriate coping skills when stressed.
• Be a positive role model, avoiding violent and unhealthy behaviors.

Editor's Note For additional information on self-mutilation, check out the following articles on the Guidance Channel:
In Brief: Self-Mutilation&Self-Mutilation: Information and Guidance for School Personnel