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Preventing Self Harm in Major Depression

Updated on July 29, 2013

Self harm, also called self injury or self mutilation, is the intentional harming of oneself in an effort to block out emotions, thoughts or ideas that may be otherwise overwhelming. Those who harm themselves can be any age, sex or ethnic background. Self harm is associated with several mental illnesses including Major Depression.

What is self harm?

Self harm is a coping mechanism for many people. When mental or emotional pain is great on the inside, pain can be inflicted on the outside. This causing of external pain can provide a sense of control, serve as a distraction from the internal pain, or provide a relief from tension.

Reasons for Inflicting Self Harm

There are many roads that can lead to self harm. The root of self injury is a sense of overwhelming distress that cannot be managed with ordinary coping mechanisms. Some of the reasons for inflicting self harm are:

  • to be in control of pain vs having pain inflicted by others;
  • to gain a sense of relief from sadness, fear, anxiety;
  • to gain attention and caring of others through manipulation; and
  • to ask for help indirectly.

Cutting scars
Cutting scars | Source

Different Types of Self Harm

There are many different types of self harm. Some of the most common are:

  • cutting;
  • scratching the skin;
  • burning or branding;
  • head banging;
  • picking at skin or reopening wounds; and,
  • hitting self.

This is not an all inclusive list of the modes of self harm. The common factor among these varied types is that each causes physical pain.

Warning Signs of Self Injury

Those who self injure most often try to conceal the activity. This is due to strong feelings of guilt and shame afterward. Some causes to suspect a person is self harming are:

  • frequent cuts, burns or bruises that cannot be explained;
  • wearing concealing clothing in all seasons (long sleeves/pants in summer);
  • having lighters, razors or other potentially harmful items easily accessible;
  • blood stains on clothing, towels or tissues;
  • unexplained frequent accidents;
  • spending lots of time alone in either bedroom or bathroom;
  • poor performance at work or school;
  • mood swings and irritability;
  • suffering relationships; and,
  • poor self esteem.

Is Suicide the Same as Self Harm?

Although suicide is a lethal method of self harm, most self harm is not considered suicidal behavior. While self harm is considered a coping mechanism, a means of retaining control of pain, or a means of manipulating others, suicide is different. Suicide is the intentional ending of life. Those who are suicidal do not attempt to cause minor painful injuries to self; they attempt to cause a fatal accident or injury.

It is important to note that there is a relationship between self harm and suicide. Self harm can lead to suicide. And the risk of suicide among those who harm themselves is greatly increased.

How to Prevent Self Harm in Those with Major Depression

While there is not one specific way to prevent self harm in those with Major Depression, the best advice is to be aware of the warning signs and be prepared to act. Some ways to prevent self harm include:

  • talking openly about the injuries to offer support and understanding;
  • avoid being judgemental - remember that guilt and shame follow self harm;
  • cognitive behavioral therapy - identifies triggers leading to self harm and develops alternate healthy responses;
  • medications - antidepressants, mood stabilizers and anti-anxiety medications may be helpful;
  • take all talk of suicide seriously and be prepared to call 911.


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    • kansasyarn profile image

      Teresa Sanderson 4 years ago from Rural Midwest

      DrivingPeace, thank you for taking the time to share your story. I know that there are many who suffer with self harm. I am glad that you no longer engage in the behavior and are taking care of yourself.

    • DrivingPeace profile image

      Greg Weber 4 years ago from Montana

      Useful Hub. I've engaged in self-harm behavior, although fortunately not for several years now. The reasons I did it correspond to your list above, but I also did it because I hated myself so much it felt "right" that I should be punished physically and suffer those consequences as well.

      Being locked into a mindset of self-loathing and having no one to punish you feels almost unbearable. I couldn't stand peoples' love or sympathy and would have preferred they hate me instead. Since no one would behave that way towards me, I felt I had to do it myself.

    • kansasyarn profile image

      Teresa Sanderson 4 years ago from Rural Midwest

      Thanks for taking the time to read and comment!

    • Logically5150 profile image

      Logically5150 4 years ago

      This is a very serious subject that unfortunately not many people understand. Thank you for taking the time to write this and share your knowledge, it will really make a difference.

    • kansasyarn profile image

      Teresa Sanderson 4 years ago from Rural Midwest

      What a beautiful way to change the mindset for those who self harm. Thanks for sharing!

    • CarlySullens profile image

      CarlySullens 4 years ago from St. Louis, Missouri

      I think self harming is more prevalent than people want to be aware of. As an art therapist I work with a lot of young depressed adults who currently or used to self harm. Some have serious scars from cutting on their forearms.

      I like to provide art as a way of therapy for those who self harm. Sometimes, we will do a needlepoint project together. Anyone who has ever sewn before knows the feeling of being pricked. It gives a similar adredilene rush as cutting but a body's pain response is activated to pull away from the pain. At the same time, they are creating something. They are making something, a product a tangiable piece that comes out of the pain. Now she can see something else than scars that remind her of shame. She can see art, that she made.

    • kansasyarn profile image

      Teresa Sanderson 4 years ago from Rural Midwest

      Thanks so much for taking the time to read. It is a difficult subject, but I do agree that the more we know about it, the more we can help. Blessings!

    • jpcmc profile image

      JP Carlos 4 years ago from Quezon CIty, Phlippines

      This is a serious matter and has to be addressed immediately. The more people know about self harm. the better we can help others. Voted up and shared.