Everyone is different, but some common reasons why people may self-harm are to:
- express overwhelming emotional distress
- express difficult feelings
- feel in control, especially when some things in their lives feel out of control
Overwhelming emotions
In most cases, people who self-harm do it to help them cope with overwhelming emotional pain. This could be caused by social problems, trauma or psychological reasons.
Social problems
These can include:
- being bullied
- having problems at work or school
- having difficult relationships with friends or family
- coming to terms with sexual orientation or identity
- coping with expectations
Trauma
This can include:
- physical or sexual abuse
- death of a close family member or friend
- having a miscarriage
Psychological causes
These can include:
- having repeated thoughts or voices telling them to self-harm
- dissociating - losing touch with who they are and with their surroundings
- borderline personality disorder (BPD)
You may not know who to turn to for help. Self-harming may become a way to release these pent-up feelings.
Self-harm can also be linked to anxiety and depression. These mental health conditions can affect people of any age.
Express difficult or hidden feelings
It's not uncommon to feel numb or empty as a result of overwhelming feelings. Self-harm may provide a temporary sense of feeling again or a way to express negative emotions. It can turn invisible thoughts or feelings into something visible.
You may also be trying to:
- change emotional pain into physical pain
- escape traumatic memories
- punish yourself for feelings or experiences
- stop feeling numb, disconnected or dissociated
- express suicidal feelings and thoughts without taking your own life
Feeling in control
You may feel it is one way to have a sense of control over your life, feelings, or body. Particularly if you feel other things in your life are out of control.
Content supplied by the NHS and adapted for Ireland by the HSE