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Understanding Teen Self-Harm

Parents often find self-injury very hard to understand. It can be confusing and scary to think about how physical pain could feel like relief from emotional pain. Still, understanding why teens self-harm is an important first step toward helping them.

Why Teens Self-Harm

There are usually two reasons why teens harm themselves. One is a cry for attention. The other is to feel more in control. Both are dangerous and need to be addressed.

1. They Want Their Pain to Be Noticed

One reason teens self-harm is to be noticed. These teens are hurting on the inside but don’t know how to explain their pain with words. Cutting can become a way to show how bad they feel.

These teens usually cut on visible areas, like their arms, and continue wearing short sleeves. They wait to see how long it takes for a parent to notice or say something. This is serious and needs professional support. This means the teen struggles to communicate emotions in healthy, safe ways.

2. They Want to Feel Like They Can Control Their Pain

Another reason why teens harm themselves has to do with control. Some teens feel overwhelmed by intense emotions that seem to come out of nowhere. Their emotional pain feels unmanageable.

When a teen self-harms, they control when it happens, how long it lasts, and how visible it is. For teens who feel powerless over their emotions, this sense of control can feel calming. These teens usually try to hide their wounds and may cut in areas that are harder to see. Self-harm becomes their main coping tool, and they may resist stopping because they don’t trust that anyone can help them through the pain. In these cases, professional help is essential.

Risks of Teen Self-Harm

If you suspect your teen is self-harming, it’s important to act quickly. This behavior is a clear sign that your child is in deep emotional distress. Trying to handle it alone or hoping it will stop on its own can be dangerous.

Self-harm carries real medical risks, including infection or accidental serious injury. If teens use unclean tools to cut with or don’t properly care for their wounds, the cuts may become infected. In addition to this, even when a teen is not trying to end their life, if they cut too deeply they may sever an artery. Even if this does not happen, self-harm tells us that your teen is hurting and doesn’t yet have safe ways to cope.

What to Do if Your Teen Self-Harms

Your teen needs your love, support, and compassion—but they also need guidance from a trained professional. This is not an issue to be taken lightly. If you think your teen has self-harmed, please reach out. Helping them learn healthier ways to manage pain can make a life-changing difference.


Helping teens grow and families improve connection,

Lauren Goodman, MS, MFT

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