Self Harm
The reasons children and teenagers can self-harm are often complicated and will be different for every child or young person. Sometimes a child or teenager may not know the reasons they self-harm. 
For many young people, self-harm can feel like a way to cope with difficult feelings or to release tension. The physical pain of hurting themselves can feel like a distraction from the emotional pain they're struggling with.
Some difficult experiences or emotions can make self-harm more likely in children:
- experiencing depression, anxiety or eating problems
 - having low self-esteem or feeling like they’re not good enough
 - being bullied or feeling alone
 - experiencing emotional, physical or sexual abuse, or neglect
 - grieving or having problems with family relationships
 - feeling angry, numb or like they don't have control over their lives.
 
It can be hard to recognise the signs of self-harm in children and teenagers, but as a parent it’s important to trust your instincts if you’re worried something’s wrong.
Signs to look out for can include:
- covering up, for example by wearing long sleeves a lot of the time, especially in summer
 - unexplained bruises, cuts, burns or bite-marks on their body
 - blood stains on clothing, or finding tissues with blood in their room
 - becoming withdrawn and spending a lot of time alone in their room
 - avoiding friends and family and being at home
 - feeling down, low self-esteem or blaming themselves for things
 - outbursts of anger, or risky behaviour like drinking or taking drugs.
 
If you have any concerns at all about a child’s safety or wellbeing, contact the NSPCC Helpline 0808 800 5000
18 or under? Childline offers free, confidential advice and support whatever your worry, whenever you need help. Call 0800 1111