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Is Your Teen Hiding Their Pain? Signs They Might Be Self-Harming and How to Help

  • Writer: Deidre Heafield
    Deidre Heafield
  • Jul 14
  • 4 min read

Updated: Aug 30

Navigating the teenage years can be a challenging period for both teens and their parents. This is a time filled with significant changes, development, and sometimes hidden struggles. One particularly alarming issue that can emerge is self-harm. This sensitive topic often leaves parents feeling confused and helpless. By recognizing the signs and symptoms of self-harm, parents can take effective steps to support their teens.


Let's discover the warning signs of self-harm in teenagers and explore ways in which we can support teens through these challenging times.


Understanding Self-Harm


Self-harm is the act of intentionally causing harm to oneself as a way to cope with emotional pain. For many teens, it serves as an outlet for overwhelming feelings, such as sadness, anger, or anxiety. Research shows that about 17% of adolescents have engaged in self-harming behavior at least once. Understanding the reasons behind self-harm is essential for parents looking to help their children effectively.


Signs of self-harming behavior can be subtle and often overlooked. Many teens will suffer in silence, making it even harder for parents to identify their struggles.


Signs Your Teen Might Be Self-Harming


1. Unexplained Injuries


One of the clearest indicators of self-harm is unexplained cuts, burns, or bruises. If you observe these injuries and your teen seems unwilling to explain them, it could be a serious concern. For example, a teenager may have multiple cuts on their forearms but will avoid discussing them. Address this issue carefully; use a gentle tone to encourage openness.


2. Changes in Behavior


Watch for noticeable changes in your teen's behavior. If they become withdrawn, irritable, or lose interest in activities they once enjoyed, these could signal deeper issues. For instance, if a previously active teen suddenly stops playing sports or stops hanging out with friends, it may suggest they are struggling emotionally. Additionally, shifts in sleep patterns, appetite changes, or declining grades should raise concerns.


3. Frequent Wearing of Long Sleeves


An abrupt preference for long sleeves, even during warm weather, could indicate efforts to hide self-inflicted injuries. It’s not uncommon for teens to wear long clothing as a way of concealing scars. If your teen suddenly begins wearing long sleeves or pants consistently, even when it's warm outside, this could be a warning sign that something is wrong.


Eye-level view of a clothing rack with various long-sleeve garments

4. Emotional Signs


If your teenager exhibits intense emotional distress, such as withdrawing from social interactions, experiencing mood swings, or showing a lack of motivation, they may need support. Feelings of hopelessness or self-hatred can lead to self-harm. For example, if your teen constantly expresses feelings of worthlessness or has difficulty finding joy in daily activities, this could be a crucial sign.


5. Distancing from Friends and Family


A teen who isolates themselves from friends and family or forms unusual friendships could be trying to protect themselves. This behavior often accompanies self-harming actions and intensifies feelings of loneliness. For example, if your teen abruptly cuts ties with long-time friends or spends hours alone in their room, it may warrant your attention.


Close-up view of a young person's room filled with colorful posters and journals

6. Engaging in Risky Behaviors


Teens who self-harm may also engage in other risky behaviors, such as substance abuse or reckless activities. More than 30% of adolescents who self-harm have been found to engage in these behaviors too. This can serve as a cry for help or a way to cope with emotional pain.


How to React


Knowing how to respond to your teenager’s possible self-harming behavior is crucial. Here are some strategies to consider:


Stay Calm


Approach the situation calmly and carefully. Reacting with shock or anger can push your teen further away. Instead, express your concern in a loving and understanding manner. Creating a safe space for conversation is key to encouraging them to open up.


Open the Lines of Communication


Encourage your teenager to share their feelings. Ask open-ended questions like, "I've noticed you've seemed a bit down lately; is there something on your mind?" Show genuine interest in their thoughts and feelings, allowing them the freedom to express themselves.


Offer Support Without Judgement


It's vital to demonstrate unconditional love and acceptance. Avoid negative remarks about self-harm, focusing instead on your desire to understand and support them. Let them know it’s normal to feel pain and that they're not alone in their struggles.


Encourage Professional Help


If your teenager is resistant to talking or if their safety is a concern, it may be time to seek professional help. Therapists or counselors can provide vital support and coping strategies tailored to your teen's needs.


Monitor Their Environment


While respecting your teenager's privacy, keep an eye on their surroundings. Safeguarding their environment by removing potentially harmful objects can help ease both your anxieties. Creating a secure space may facilitate more open communication.


Be Patient


Healing takes time. Remain patient and supportive throughout this journey. Regular check-ins and a consistent offer of support can make a big difference as your teenager navigates their recovery.


High angle view of a cozy teenager’s bedroom with a comforting atmosphere

Finding a Way Through


Recognizing the signs of self-harm in teenagers can be difficult, but awareness and open communication are powerful tools. Approaching your teenager with love, understanding, and support is crucial. Advocating for their mental health and seeking professional assistance when needed shows that you care.


By nurturing an open dialogue, you can help your teen feel comfortable sharing their feelings and struggles. Although the path ahead may seem daunting, remember, you are not alone in this journey. With patience and the right support, both you and your teenager can navigate through this challenging time together.


If you need help, support or advice please reach out.

Deidre Heafield (Educational Psychologist)

 
 
 

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