"I've never found such a supportive and dedicated forum. Someone will post in the crisis room and that
same desperate person replies and supports another crisis post despite their own feelings"
forum

Friends and family

Finding that a person you care for is harming themselves can bring about a large range of thoughts and feelings: fear, distress, confusion, worry, anger, anxiety and self blame. Your first reactions may be to remove the things that they are using to harm themselves, be forceful in seeking help (i.e. urgently seeing a GP), apply pressure on them to talk, or be confrontational. Self harm is primarily a coping strategy. Until the reasons behind the self harm have been explored taking away their ability to cope can be very detrimental. The table below gives you more detailed do’s and don’ts.

A common fear is that a loved one is feeling suicidal. Whilst some individuals that self harm may have suicidal feelings, these are likely to originate from the issues behind the self harm rather than the self harm itself. Self harm, as a coping mechanism, is very often a way of avoiding suicide by releasing thoughts, feelings and emotions. The reasons behind self harm will need to be addressed when the individual is ready and with the right care and support. Appropriate professional help may be needed. Whilst these reasons are being worked through the greatest support you can offer is a listening ear.

Distractions can be a powerful way of diverting feelings of self harm or finding other ways to express thoughts and feelings such as poetry, art, sport etc. Alternatives to self harm such as ice cubes on the skin, flicking elastic bands or drawing on the skin with a red pen can also help.

Click HERE for a full distraction list (PDF format).
Things to do
Things not to do
Open up methods of communication Don’t force them to talk about it
Give them the option to come to talk to you IF they want to Don’t make them feel that this is something that should be kept secret and is wrong to talk about or that they have to talk about it
Ask them if they want to talk about what, if anything led to the individual episode of self harm Don’t assume every episode of self harm is for the same reason
Ask them what, if anything they would like you to do to help Don’t assume what they need and want or take any action without discussing it and being sure that they are comfortable with it
IF they are willing to talk about it – recommend and encourage them to seek professional help, coping strategies, support groups, support forums etc. Don’t force them into going to get help and take control away from them (they may not be ready; forcing this may cause them to withdraw from you)
Let them remain in control as much as possible (many people who self harm feel they have a lack of control over their lives and feelings etc.). Don’t try to make them stop self harming (e.g. by removing self harm tools) or give them ultimatums or do things that they aren’t comfortable with. NEVER ask them to promise they won’t harm themselves. This will only add more pressure
Learn as much as you can about self harm Never jump to conclusions
Try and be understanding Don’t tell them what they are doing is wrong or be judgemental
Show them that you care and can see the person beyond the self harm Don’t change your perspective of them as a person (They are an individual, not a self-harmer!)
Be positive. Try and focus on their strengths Don’t be negative, their self harm does not change everything about them
If they tell you they have just self harmed, stay calm and ask if they want to talk about it or need any medical help (despite how you may feel, try not to show it) Don’t get angry with them, shout at them, or show shock after individual episodes of self harm (you may feel this way but expressing it may cause more harm and make the individual feel guilty)
Get help for dealing with and understanding your own feelings and emotions Don’t blame yourself or take it personally
Only help as much as you feel able too. You need to look after your own health too. You need to maintain some self preservation, supporting someone else can be emotionally draining Don’t blame them for making you worry or talk about how much this is impacting on you, this may make them feel even more guilty and lead to further self harm
Offer ideas for distractions – talk about things not related to self harm, watch a film together, go for a walk together etc but respect requests for time on their own Don’t assume that they always need to talk about the self harm if they are low or not allow them any time and space alone

"When I self-harm I don't feel any pain at all, just a release. It is not until after that I feel the pain and that is when I start to regret what I've done."

NSHN, PO Box 7264, Nottingham NG1 6WJ - e-mail: - Registered charity 1106336 - A company limited by guarantee 04305979

© National Self Harm Network 2009.