Studies show that 1 in 5 teens have harmed themselves intentionally at least once

Self-harm among teens has quietly become one of the most serious mental health issues today’s youth face. Although it was once a misunderstood behaviour, studies show that 1 in 5 teens have harmed themselves intentionally at least once. Yet, despite growing awareness, many adults remain unaware of the signs, not the seriousness of this issue.

Unlike suicidal behavior, self-injury such as cutting, or burning is used to control emotions. Experts say that it’s not about seeking attention, but about trying to relieve themselves of intense emotions that seem unsolvable. Left untreated, though, this behavior can turn into something much worse.

Why do teens hurt themselves?

At the core of self-harm is emotional pain. Many teens report feeling overwhelmed, or extremely judgmental of themselves, and turn to self-harm as an escape.

Dr. Michael Hollander, a clinical psychologist, explains that self-injury often comes from teens who feel their emotions more intensely than their peers, and don’t have the ability to cope with their feelings.

Others use it as a form of self-punishment, or even as a cry for help when words are not strong enough to depict the feelings.

Hard to spot, easy to miss

What makes self-harm especially concerning is how well it can be hidden. Most teens that do self-harm, go to great lengths to hide the damage to their body. They may cut their thighs, or upper arms, areas which are mostly covered by clothing.

Warning signs include:

• Wearing long sleeves in hot weather
• Many unexplained cuts, or bruises
• Isolation, or locking themselves in rooms during emotional moments
• Sudden mood improvements after being upset, or angry

Sometimes, signs can be found in small clues such as bloody tissues, small things that can be easily dismissed.

Not suicidal, but still at risk

A major misconception is that most teens that do self-harm are suicidal. In reality, most teens who self-injure are not suicidal at all. That doesn’t mean they’re safe from having these types of thoughts. Without the proper help and care, self-harm can turn into something much more serious or leave emotional scars untreated and vulnerable.

“Just because a teen isn’t trying to die doesn’t mean they’re not in serious danger,” notes Dr. Hollander.

Treatment can save lives

With the right help, self-harm can be treated. The most effective therapy focuses on emotional regulation and coping strategies. One method is the Dialectical Behavior Therapy, which teaches mindfulness, distress tolerance, and interpersonal effectiveness.

Dr. Alison Yaeger, a DBT expert, explains how teens in treatment often learn to analyze their feelings rather than reacting rashly, giving them healthier alternatives to self-injury. “When teens can name their emotions and sit with them without judgment, they’re far less likely to hurt themselves,” says Yaeger.

Family therapy and support groups also play a key role in helping. Open communication between teens and trusted adults is extremely important.

What parents and teachers can do

Catching self-harm early is crucial. Adults should approach suspected cases with curiosity and empathy. If a teen is found to be self-injuring:

• Stay calm and nonjudgmental
• Acknowledge their emotional pain
• Avoid punishment
• Encourage professional help

Even if a teen insists they’re “Fine,” don’t ignore the signs. Self-harm is a symptom of deeper issues that won’t disappear on their own.

Hope and healing are possible

While self-harm may be a silent cry, it’s not a hopeless one at all. With: early detection, proper treatment, and strong support, teens who self-injure can recover and thrive. Awareness is growing, and so is access to life-changing therapy for teens. The key is to listen, believe, and act and support them when they need it