How to Tell if Someone Is Self-Harming

A man sitting in a chair with a distressed expression, holding his chest.
Table of Contents

Key Takeaways

  • Recognizing signs of self-harming is vital for providing necessary support and intervention to manage emotional distress and promote healthier coping mechanisms.
  • Self-harm often manifests through visible injuries hidden under clothing, emotional instability, and behavioral changes like altered eating habits.
  • Individuals who self-harm may adopt concealment behaviors, wearing inappropriate or unusual clothing to cover injuries, and avoiding situations where skin exposure is required.
  • A Mission for Michael (AMFM) offers specialized self-harm treatment programs that integrate Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) – focusing on understanding self-harm and its triggers, personalized therapies, and a supportive environment to aid recovery.

How to Recognize Signs of Self-Harming

An injured man sitting.

Look for unexplained injuries or a tendency to wear concealing clothing, even in warm weather.

Self-harming often reflects an individual’s attempt to cope with emotional pain, intense anger, or frustration – signaling a need for help rather than attention. Awareness of physical, emotional, and behavioral signs can facilitate early detection, prevent further harm, and encourage healthier coping mechanisms.

Self-harming behaviors manifest in various forms. Key indicators include physical signs such as visible injuries like cuts, bruises, burns, or scars, typically hidden under clothing on areas like the arms, thighs, or abdomen. 

Emotional signs might involve mood swings, emotional instability, or withdrawal from social interactions. Additionally, behavioral changes such as altered eating habits or consistently wearing long sleeves to cover injuries can also suggest self-harming behavior.

Unexplained Injuries

Common Areas for Injuries

Individuals who engage in self-harm often target areas of the body that are easily accessible and can be concealed. Common sites for injuries include the forearms, which are chosen for their easy access, and the thighs and torso, which are frequently selected due to their ability to be hidden under clothing.

Concealment Behaviors

Concealment behaviors are another significant indicator of self-harming. Those who self-harm may wear long sleeves or pants even in warm weather to cover their injuries. They might also avoid activities that require exposing skin, such as swimming or changing in communal areas. 

Clothing Choices and Reluctance to Expose Skin

A persistent use of inappropriate clothing, such as wearing heavy jackets during the summer or refusing to wear swimsuits, can be a sign of an attempt to conceal self-inflicted injuries. These behaviors often come with excuses or avoidance tactics to prevent others from seeing the injuries. 

Behavioral and Emotional Signs

Changes in Mood and Social Behavior

Individuals may experience sudden mood swings, irritability, or signs of depression. A tendency to withdraw from social interactions, even from close friends and family, is common. For instance, someone who was previously outgoing might suddenly become reclusive.

Patterns of Secretive or Withdrawn Demeanor

Individuals might spend excessive time alone, lock themselves in their room, or be evasive about their whereabouts and activities. These behaviors can serve to conceal both the physical act of self-harming and the emotional pain associated with it.

Altered Eating Habits

Changes in eating patterns may indicate self-harm, manifesting as sudden weight changes, meal skipping, or secretive eating. These behaviors can arise from emotional distress or as a form of control over one’s life. For example, a noticeable change like a teenager skipping meals at school could point to deeper emotional issues.

Increased Isolation or Avoidance of Situations

Individuals might shun social gatherings, family events, or hobbies they once loved, often to hide their injuries or because they feel overwhelmed by social interactions. For example, a student might withdraw from sports or group activities they once actively participated in, choosing solitude instead.

Steps to Take If You Suspect Self-Harming

A supportive woman sitting beside a man.

Approach conversations about self-harm with care and empathy to encourage openness.

Approaching the Subject Carefully

Express concern and offer your support without making accusations or using confrontational language, which may lead to defensiveness or withdrawal. For example, you could say, “I’ve noticed you’ve been wearing long sleeves a lot lately, and I’m worried about you. Is there anything you’d like to talk about?” 

Encouraging Open Communication

  • Listen attentively without interrupting.
  • Validate their feelings without minimizing their emotions.
  • Encourage them that seeking help is a courageous step.

Seeking Professional Help and Support

  • Assist in finding a therapist or counselor.
  • Emphasize that seeking help demonstrates strength, not weakness.
  • If there is hesitation, recommend starting with a trusted school counselor or family doctor who can refer to appropriate resources.

Resources and Support for Self-Harming Individuals

Contacting Mental Health Professionals

Mental health professionals such as therapists, counselors, and psychologists offer specialized support. They help individuals understand the root causes of their behavior and develop effective coping strategies.

Offering Emotional Support and Understanding

Providing emotional support involves being patient, understanding, and non-judgmental, which can make a significant difference in making someone feel valued and supported. Encourage open expression of feelings and reassure them that they are not alone.

Resources for Immediate Help

  • National Suicide Prevention Lifeline: 1-800-273-TALK (1-800-273-8255)
  • Crisis Text Line: Text HOME to 741741
  • National Alliance on Mental Illness (NAMI) Helpline: 1-800-950-NAMI (1-800-950-6264)

These services are accessible 24/7 and can provide immediate assistance and guidance for those in distress and their loved ones.

Why Choose A Mission for Michael for Self-Harm Treatment?

A therapist speaking with a patient.

At A Mission for Michael (AMFM), we specialize in treating self-harm with a focus on understanding and addressing underlying mental health issues. Our programs across California, Virginia, and Washington offer personalized care, integrating therapies like Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to alter harmful behaviors and thoughts.

Our Treatment Approach:

  • Comprehensive Understanding: We educate clients and their families on the nature of self-harm and its triggers.
  • Personalized Therapies: Treatments are customized for individual needs, promoting healthier coping mechanisms.
  • Holistic Approach: Our care extends beyond symptoms to include mindfulness, nutrition, and overall physical health.
  • Supportive Environment: We provide a nurturing setting with group and family therapy to enhance connection and support.
Logos of The Joint Commission, California Department of Health Care Services, and National Association of Addiction Treatment Providers.

Accessibility and Accreditation: Our licensed facilities ensure high-quality care accessible across several states to individuals in need. 

A collection of client testimonials highlighting positive life changes.

Transformative treatment experiences have earned heartfelt reviews from our clients.

For support and treatment options, contact A Mission for Michael at 866-478-4383. All communications are confidential, with assistance available to find the right care if needed.

Start your recovery journey with AMFM today

Frequently Asked Questions

What are the common physical indicators of self-harm?

Common physical indicators include visible injuries like cuts, bruises, burns, or scars, usually hidden under clothing on areas such as the arms, thighs, or abdomen.

How can clothing choices indicate self-harming behavior?

Consistent inappropriate clothing choices, such as wearing long sleeves or pants in warm weather, can indicate an attempt to conceal self-harm injuries.

What emotional and behavioral changes might suggest someone is self-harming?

Signs that a person might be feeling emotionally unwell could include feeling very happy and then very sad very quickly, and not wanting to see friends or family. Behavioural signs could be changes in eating habits, and not wanting to do things like go to group activities or play sports.

What should I do if I suspect someone is self-harming?

It is important to approach the subject with caution and to express your concerns in a non-confrontational manner. Get people to talk openly and suggest they speak to a professional. Make it clear that this is a sign of strength.

Why choose A Mission for Michael for self-harm treatment?

AMFM specializes in treating self-harm by understanding and addressing underlying mental health issues. We offer personalized care with therapies like CBT and DBT in supportive, accredited, and home-like facilities that promote holistic healing, encompassing mindfulness, nutrition, and overall physical health.