Self-harm

Self-harm is any non-accidental behaviour that causes or could cause harm to a person. Help and support is available. 

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Help in an emergency

Please seek help straight away if you, or somebody else, have taken an overdose or have a serious injury. Call 999 or visit an emergency department.

What is self-harm?

Self-harm is any non-accidental behaviour that causes or can cause harm to a person. Self-harm is when someone hurts themselves on purpose as a way of coping with difficult feelings, painful memories or overwhelming experiences and situations.

Self-harming can feel like the only way to let those feelings out. This is not unusual behaviour, but it is something that can be managed and prevented.

A person who self-harms might not know or understand why they hurt themselves. Self-harming only brings short-term relief and can become a habit that is hard to stop. It is important to know that there is help and support available to those who self-harm.

Signs of self-harm

There are different forms of self-harm and they are not always easy to notice. People who self-harm usually try to keep it a secret from their family and friends. 

If you think a friend or family member is self-harming, look out for the following signs:

  • unexplained cuts, bruises or burns on their body;
  • keeping themselves fully covered, even in hot weather;
  • signs they have been pulling out their hair; 
  • changes in eating habits, and any unusual changes to weight;
  • signs of alcohol or drug misuse
  • signs of depression, low mood or loss of interest in things they usually enjoy;
  • low self-esteem or self-worth.

Things that might help if you self-harm

It can be upsetting when you think that self-harm is the only way you can cope, but there are other healthy ways you can try to help you cope such as:

  • exercising, dancing or listening to music; 
  • being with your favourite people or pets;
  • spending time in nature;
  • watching tv, particularly comedies;
  • keeping busy by cleaning and tidying your space;
  • journaling, writing your feelings on paper and tearing them up;
  • reading a book; 
  • practising meditation, mindfulness or breathing techniques; 
  • using apps to help you to explore alternatives to self-harm which can be effective and less harmful to practice.

Self-harm can be dangerous and is a sign that there is an underlying problem so it’s important that you recognise you need help and support.

If you have self-harmed or are thinking about it, it is important to know that there are people who can help you and will not judge you. You shouldn’t feel alone.

Getting help starts with talking to someone. Talk to someone about how you are feeling.  It could be a friend or family member you trust, or a teacher, colleague, youth worker or your doctor.

You might find it easier to talk to someone who doesn’t know you. There are confidential services that can help.

Self-harm Intervention Programme (SHIP)

SHIP gives people who self-harm quick access to support and counselling. It helps them understand what’s causing their distress and teaches new ways to cope with difficult feelings and situations.

Who is SHIP for?

SHIP is a service for people aged 11 and over who have self-harmed and are dealing with personal or social problems that are causing them distress. Before someone is referred to SHIP, their needs are assessed to make sure the service is suitable. 

If a person has more serious or complex mental health needs, they may be better supported by mental health services provided by their local Health and Social Care Trust. SHIP also provides short-term education and support for people who care for someone who self-harms, such as a parent, partner, or friend.

Who can refer to the SHIP service?

Referrals to SHIP can only be made by:

  • mental health professionals in GP multidisciplinary teams
  • mental health professionals in HSC Trusts

If a GP feels SHIP might be appropriate for their patient, they can mention this in their referral to Trust mental health services, who will assess the persons needs and make the referral to SHIP if appropriate.

Self-referrals from people who are self-harming are not accepted. A referral must be made by a mental health professional to ensure the person is receiving the right service. 
 

If you think this service could support you, make an appointment with your GP or, if your practice has one, your GP’s mental health practitioner. 

Which organisations provide SHIP

SHIP is provided by a network of voluntary sector organisations offering counselling at a range of locations across Northern Ireland. 

If you think this service could support you, or someone else, make an appointment with your GP or, if your practice has one, your GP’s mental health practitioner and ask them about support for self-harm. 

Useful resources

Services for self harm

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