Self Harm

Self-harm means deliberately hurting yourself, often by cutting, burning, or hitting yourself. It's more common than you might think, and it's important to know that help is available.

When You Need Help Right Away

If you're in immediate danger or having thoughts of seriously hurting yourself, don't wait. Go straight to A&E or call 999. Your safety is the most important thing.

Free Support Any Time

Sometimes you just need someone to talk to. These services are completely free and confidential:

Samaritans - Call 116 123 any time, day or night. You can also email jo@samaritans.org and they'll reply within 24 hours.

Shout Crisis Text Line - Text "SHOUT" to 85258 if you prefer messaging.

Childline - If you're under 19, call 0800 1111. This number won't show up on your phone bill.

CALM - If you're 15 or older, call 0800 585 858 from 5pm to midnight.

These services only share your information if they're very worried about your immediate safety.

Why You Should Speak to Your GP

Your GP is often the best person to help with self-harm. They won't judge you - they're there to help. Speak to your GP if:

• You're harming yourself
• You're thinking about harming yourself
• You have small cuts or burns that might get infected

Some people who self-harm are at higher risk of having thoughts about ending their life. Getting help early can prevent these thoughts from getting worse.

What Your GP Can Do

Your GP will listen without judging you. They might:

• Discuss self-help options or support groups
• Treat any minor injuries you have
• Ask questions to understand why you're self-harming - try to be honest, even if you're not sure why you do it

If needed, your GP might refer you to a community mental health team. They'll do an assessment and work with you on a treatment plan, which might include talking therapy.

If you're under 18, you might be referred to children and young people's mental health services instead.

Other Places to Get Support

Mind - Call 0300 123 3393 or text 86463 (weekdays, 9am to 6pm)

Harmless - Email info@harmless.org.uk for information and support

YoungMinds Parents Helpline - If you're a parent worried about your child, call 0808 802 5544 (weekdays, 9.30am to 4pm)

National Self Harm Network - Online forums where you can connect with others

Health for Teens - Information specifically for young people

Making a Safety Plan

If you're having thoughts about ending your life, the Staying Safe website can help you create a safety plan. It has videos and templates to guide you through making a plan for staying safe during difficult times.

Remember

Self-harm is a sign that you're struggling with difficult feelings. It's not your fault, and you deserve help and support. Speaking to your GP is often the best first step - they can help you find the right support for your situation.

You don't have to go through this alone. Help is available, and things can get better.

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Based on NHS.uk guidance. Written by Dr Krishnan Pasupathi, NHS GP.