Unfortunately, it’s not uncommon for people, college students included, to occasionally feel like they’ve lost control of their lives. With tests, papers, and other commitments piling up, it might seem impossible to get a handle on things. These feelings can become more extreme in cases of trauma and abuse. There are healthy ways to get back into control. A balanced diet, moderate exercise, catching up on homework, and a good night’s sleep are just a few things that can help. Other people—in fact, as many as two million—turn to something more dangerous: self-injury.

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What is self-injury?

Self-injury is harm that a person intentionally inflicts upon him or herself. It is also called self-mutilation or self-harm. Sometimes people refer to it by its specific behavior: cutting, burning, kicking, poisoning, etc. It may include any of the following:

  • Cutting, piercing, or scratching the skin with a sharp object
  • Burning
  • Poisoning
  • Punching walls and other objects
  • Picking at wounds so that they do not heal

Self-injury is usually not a suicide attempt; typically, people harm themselves to cope with intense feelings of anger or sadness or to perceive a sense of control over one aspect of their lives. It is still dangerous, however, and it can be the cause of accidental death. For most people who self-injure, the behavior becomes a habit; they do it more than once. Not only does this repeatedly put the body at risk, but it stunts a person’s ability to develop healthy coping strategies that don’t harm the body.

Who self-injures?

People who self-injure come from all backgrounds, genders, races, and ages. What they have in common is low self-esteem, a need to find control, perfectionism, and/or experiences with past trauma. While self-injury can affect anyone, it does particularly affect teenagers and young adolescents. In fact, a 2008 study published in Psychiatry found that one-third to one-half of adolescents in the United States had inflicted a self-injury.

I suspect my friend self-injures. What should I do?

People who self-injure often do so in private. In fact, they are usually good at concealing their behaviors, especially if they live in a single dorm or have their own bedroom or bathroom in a shared apartment.

You can still look out for your friends in need. Care about your friends by paying attention to any warning signs or behaviors that seem unhealthy:

  • Scars
  • Fresh cuts and wounds (often straight, parallel cuts on the arms and legs)
  • Scratches
  • Patterns of bruises
  • Wearing long sleeves and pants, even in the summertime
  • Broken bones
  • Keeping sharp objects around, even when unnecessary (e.g., a knife in a dorm room or a razor in a purse)
  • A drop in school performance

If you notice that your friend is demonstrating some of the above signs of self-mutilation, it’s a good idea to reach out. Oftentimes, people who self-injure want to talk to someone about it, but they have trouble finding the courage. You can show your support by listening and then encouraging your friend to make an appointment with a mental health professional.

What should I do if I self-injure?

If you self-injure, it may not seem like a big deal. It doesn’t affect anyone’s body but your own, and you know when to stop cutting or burning before your injuries are fatal. In fact, it may be something you’ve been doing for years to express your pain or emotions.

Self-injury is not the best way to cope with the outside world. Accidents do happen, and self-injuries can be fatal. They can also leave permanent scars or cause infections. There are healthier coping strategies that reward your body rather than punish it. They include exercise, eating well, getting a good night’s sleep, journaling, meditating, and talking with friends. These activities benefit your emotional and physical health.

You can get help from a number of resources if you self-mutilate. Mental health professionals understand that self-injury is not usually suicidal behavior. Most therapy to overcome self-injury is done on an outpatient basis. Do not be afraid to reach out to your parents, friends, and doctor. They will be eager to help you develop effective strategies for coping with pain, anger, and frustration.

What resources are there for people who self-injure?

For everyone:

For teens and adolescents:

  • Thursday’s Child
    • Call 1-800-872-5437 toll-free.
    • Helpline is open 24 hours a day, seven days a week.

For LGBT+ youth:

  • The Trevor Project
    • Call 1-866-488-7386 toll-free. Chat and text options are also available.
    • Helpline is open 24 hours a day, seven days a week.

Page last updated: 12/2016