How can you help a teenager who self-harms?

March 12, 2010 1:32am CST
I was just listening to a news report about teenagers who self-harm. It was never a subject that concerned me much until a few weeks ago when my daughter told me her best friend regularly cut herself. She's very worried about her friend and doesn't know how best to help her. Does anyone have any advice?
2 people like this
10 responses
• Regina, Saskatchewan
12 Mar 10
Self cutting is usually a symptom of poor self-esteem, and poor self-image. It can become quite serious if not recognized and treated. Your daughter's friend needs counselling Louise. The sooner the better. The best thing your daughter can do is encourage her friend to see a school counsellor, or speak to someone in authority that can get her the counselling she needs. If the friend is uncooperative (and she probably will be) then speaking to her parents may be your only option.
@Canellita (12029)
• United States
12 Mar 10
DO NOT contact the mother. Talk to the child first. If the problem is in the home you could make it worse.
12 Mar 10
Everyone here has been very helpful and come up with some good ideas. You've helped me make my mind up to contact the mother, something I was wary of doing, but to approach her in a really tactful and non-judgemental way (as I've said in previous comments). Also, if my daughter is willing, get her to raise the matter with an appropriate person at school.
1 person likes this
• Regina, Saskatchewan
12 Mar 10
Canellita, though I understand what you mean, I have to disagree. Teenagers are fragile. They need to know that SOMEONE is on their side, and if they have a less than steller relationship with their parents (and what teen doesn't?) does not mean they don't look to adults for support and direction. To see a friend's mother be willing to speak to her parents, when obviously she can't herself, may give rise to protestations on both sides, but inside that troubled teen will be a feeling of 'here is someone who cares' and she will probably be much more willing to open up to Louise and her daughter and get the help she needs. The point is, sometimes there has to be a little pain to reap the gain, and in the end it's not the parents of this girl that are at risk, it's the teenager herself and if mountains have to be moved to help, then for god's sake, MOVE THEM!
@hofferp (4734)
• United States
12 Mar 10
The young lady needs professional help. I don't know, I think I'd try and verify the cutting, and if it's true, contact the parents. I might get "mind your own business", but it's too serious of a problem to leave to your daughter to talk to her friend about getting help. I think adults need to step in here.
@Canellita (12029)
• United States
12 Mar 10
Before you contact the mother invite the friend to lunch with you and your daughter and try and get to know her better.
12 Mar 10
The cutting is a fact, I'm afraid. I have now made up my mind to have a word with her mother in a very gentle and non-judgemental way. My daughter tells me her parents are aware of the problem but from what I can gather, they haven't taken her for any professional help.
@hofferp (4734)
• United States
12 Mar 10
You might get a "stay out our business", but at least you tried. The school might be another good avenue.
@ronaldinu (12422)
• Malta
12 Mar 10
If she is still attending school I would tell my daughter to contact the guidance teacher or her form teacher and inform them about her friend's behavioiur. They should keep things confidential and her identity would not be revealed. If she has a good relationship with her friend's parents it is wise enough to contact theml. If you have a good relationship yourself, I would contact her parents myself. This girls needs emotional help and support. Can you talk to this young lady and see what is the hidden problem that is leading to do self harm?
@Canellita (12029)
• United States
12 Mar 10
Getting the school involved can be a good thing depending on the outlook of the administration. The school can refer your child's friend to a social worker but this is a process that takes time. The best thing is for you and your daughter to work on a relationship with the girl so that she will trust you enough to talk and help you figure out how to help her.
12 Mar 10
I hadn't really thought about getting the school involved but it's excellent advice. I assume they will have some experience of this kind of thing. I will definitely suggest my daughter has a word with her form teacher who is a very nice woman.
12 Mar 10
I believe the best thing here would be to see a counsellor and get some help. Self-harming is often a cry for help, and in most cases once that help is available, the self-harm ceases.
12 Mar 10
I think the poor girl is crying out for help. She's quite shy and I know her parents are quite tough on her. As I've said to other people here, I'm going to try to talk to her mother without sounding like I'm blaming anyone or sticking my nose in someone else's business. Wish me luck!
@Canellita (12029)
• United States
12 Mar 10
How well do you know this girl and her parents?
@1anurag1 (3576)
• India
12 Mar 10
I think the real advice of a professional is needed as psychiatrist in these cases. but what ever he can do professionally we can do also by affection. i think there is a need to help them in understating the circumstances and some motivation. i think only the best things is to be a more friend that the parents in these cases.
12 Mar 10
That's really good advice. The girl is often in my house with my daughter and although she's quite a highly-strung girl, she says she likes to "chill out" with us. We're all quite laid-back but her parents are fairly controlling and there's always an air of tension in their house. Maybe, we could provide more of a bolt hole for her.
@Canellita (12029)
• United States
12 Mar 10
This is the best part of the discussion I have read so far. Work on the relationship and build trust and consult a professional for advice on how to help. One word of advice: your parenting style obviously differs from that of her parents but it does not mean they are wrong. There are any number of reasons why this girl has developed this habit and you may never find out the cause. She will appreciate your support more than a judgement of her parents. And before you say it, calling parents more strict than you "controlling" is a judgement, even if you didn't mean it that way. The important thing here is to show compassion for everyone concerned.
@pandaeyes (2065)
12 Mar 10
My daughters friend also does this. I think it is a plea for attention . Any attention being better than none. The friend tends to get pushed out of the way by her mother for long periods of time (mum is a top career woman)and then bossed about by phone(she is at university) when the mother remembers she has a daughter. It is easy to get dragged into the scenario so you do have to only give attention to her on your own terms. We could easily have this person at Christmas and holidays but she is quite spoiled in other ways and thinks nothing of drinking till she collapses. A few years ago I noticed my own daughters hair was looking a bit thin and I said did she have an itchy scalp or anything and she said no it was just a habit and she pulled little bits out. Well I went with her to the doctor just to make sure and he said it was psychological and asked her ,did she want some help with talking things through. She said no but I did make sure we talked about stuff much more after that and she never did it again.
@Canellita (12029)
• United States
12 Mar 10
This is a bit more than a cry for attention.
@pandaeyes (2065)
13 Mar 10
well yes I suppose so Canellita ,she does after all get attention but it is all on someone elses terms,never her own. I think people sometimes have trouble expressing themselves and they will use the harming to show how much things are hurting them mentally by doing a physical thing. My younger sister had a bit of a harming phase a few years back. She has all sorts of problems and is medicated for them to the point where she is on disability benefits.She is married with a very patient and attentive husband but she still finds it hard to cope with her life.
12 Mar 10
Who'd be a teenager in this day and age?! She's a very nice girl - a little shy - and I'd have no problem with her spending more time with us. You're right, though, that I don't want to be a surrogate mother to her. I have children of my own and don't want them to feel I'm neglecting them.
@celticeagle (160064)
• Boise, Idaho
12 Mar 10
It is a self-esteem issue. Positive statements and some counseling would do the trick. She needs professional help! I would also check out www.loveandlogic.com. It is a great site and I think the ideas are great! I hope her folks get her to a good child psychologist.
@Canellita (12029)
• United States
12 Mar 10
Your daughter's friend needs therapy. If the friend comes to your home you can try talking to her but teenagers are famously tighlipped. There are any number of reasons why she started cutting ranging from trauma to some form of abuse. You could call social services and see if they are willing to investigate and possibly intervene, but it is a rather delicate situation.
@rosegardens (3034)
• United States
13 Mar 10
The best thing, and the most important is to address this with her parents. This young lady needs professional intervention first and foremost. Are you and your daughter involved in any church? Church groups can be great support. This young lady needs that. She needs to know she is loved, as well as professional intervention. Thank you for being concerned about your daughters friend.
@tomitomi (5429)
• Singapore
13 Mar 10
i am not a professional counsellor nor a therapist. i'm here because i want to help in my very own small way. self-harm is a disorder and like many other disorders, professional help and treatment is necessary to heal from. i think self-harm is by no means a way of escaping pain, it could be a very traumatic experience in the past, by using pain. and worse off, this may eventually lead to another vicious cycle, if it goes unchecked. i think it is worth the effort now "to forgive, to forget and move on" as they say, no matter how difficult it is because some memories do not heal as fast as the wounds, so that we do not carry trashbags around in life. trash certainly belongs to the garbage bins and should have been gotten rid off as soon as possible. they should not stay long in our hearts and minds in order to keep ourselves healthy. being engaged, being occupied with meaningful activities or a little hobby, a listening ear and lots of counselling should go a long way. please get help.