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In a crisis or need urgent help? 

If things feel overwhelming or you're worried about someone else, here’s what you can do: 

  • Call NHS 24 on 111  Available 24 hours a day, 365 days a year for urgent mental health support and advice. 
  • Talk to your GP Your GP is a great first point of contact. They can listen, offer guidance, and refer you to local Mental Health Services if needed. 
  • If you feel you are in immediate danger, please call 999 for assistance.

Remember: 

Reaching out is a sign of strength. Whether you're looking for a little guidance or urgent help, there are people ready to listen and support you. 

What is Self-Harm?

Self-harm is when someone hurts themselves on purpose. This can be a way of coping with very difficult or upsetting feelings or experiences. 

People may self-harm to try to feel better or to manage emotional pain. It’s not always about wanting to end their life. 

Even though self-harm and suicide can be linked, many people use self-harm as a way to survive and keep going during tough times. 

 

Read more from NHS Inform about where to get help if you self-harm.

Types of Self-Harm

Self-harm can take many forms. You might be hurting yourself in ways that aren’t always obvious to others—or even to yourself at first. Some examples include: 

  • Cutting or burning your skin  
  • Hitting or punching yourself  
  • Taking too many tablets or using harmful substances  
  • Misusing alcohol or drugs  
  • Controlling food in harmful ways, like starving yourself or binge eating  
  • Exercising excessively to the point of pain or exhaustion 

You might try to keep it hidden—maybe by covering your skin or avoiding conversations about how you're feeling. That’s often because of shame, fear, or not wanting to worry others. But you don’t have to go through this alone. 

If you're reading this because you're worried about someone else, try to approach them with care and understanding. They might not be ready to talk, but knowing someone cares can make a big difference. 

Signs of Self-Harm

If you’re self-harming, it’s important to know that you’re not alone—and that help is available. Self-harm can cause serious injury, even if that’s not your intention. Speaking to your GP can be a helpful first step. They can support you in understanding what’s going on underneath and talk to you about treatment or therapy options that might help. 

You might feel ashamed, guilty, or confused about what you’re going through. That’s okay. These feelings are common—but you deserve support, not judgment. 

Worried about someone else? 

If you’re concerned that a friend or loved one might be self-harming, here are some signs to look out for: 

  • Unexplained cuts, bruises, or burns—often on the wrists, arms, thighs, or chest 
  • Wearing long sleeves or layers even in hot weather 
  • Signs of low mood, tearfulness, or a lack of motivation 
  • Changes in eating habits, secrecy around food, or noticeable weight changes 
  • Talking negatively about themselves or blaming themselves for everything 
  • Pulling out hair or eyebrows 
  • Using alcohol or drugs more than usual 
  • Changes to their social media habits, including secrecy around content they are looking at

If you notice any of these signs, try to approach them with care and understanding. They may not be ready to talk, and that’s okay. Just letting them know you’re there can make a big difference. 

You could gently suggest they speak to their GP or contact a confidential helpline such as the Self Harm Network Scotland, who can provide support and resources and a live chat available from 6pm to 10pm, 7 days a week.

Why you might self-harm

There are many reasons why someone might self-harm. Often, it’s a way of expressing or coping with overwhelming emotions—especially when it feels like there’s no other outlet. Some people describe it as a physical release for emotional pain. If you're feeling this way, you're not alone—and there is help available. 

You might find that hurting yourself brings a temporary sense of relief. But it’s important to know that there are safer, more supportive ways to cope. You can talk to your GP, reach out to Breathing Space, call the Samaritans on 116 123 or the Self Harm Network Scotland, who can provide support and resources, and have a live chat is available from 6pm to 10pm, 7 days a week —they’re all there to listen, without judgment. 

What Might Be Behind These Feelings? 

Sometimes, self-harm is linked to social pressures or past trauma. You might be dealing with: 

  • Difficult relationships with friends, family, or partners  
  • Struggles at school or work  
  • Bullying—whether at home, school, or online  
  • Financial stress  
  • Alcohol or drug use  
  • Questions about your sexuality or identity  
  • Cultural or family expectations that feel overwhelming 

You might also be trying to cope with something traumatic, like: 

  • Abuse (emotional, physical, or sexual)  
  • The loss of someone close to you  
  • A miscarriage or other deeply emotional experience 

How Emotional Distress Can Build Up 

When you're carrying a lot of emotional pain, it can lead to feelings like: 

  • Anger or frustration  
  • Guilt or shame  
  • Anxiety or panic  
  • Loneliness or isolation  
  • Grief or sadness  
  • Feeling numb or disconnected  
  • Feeling unworthy, trapped, or silenced—especially if you've experienced abuse 

These emotions can build up over time, and you might not know where to turn. Self-harm can sometimes feel like the only way to let those feelings out. But it’s not about seeking attention—it’s a sign that you’re in distress and need support. 

Understanding the Mental Health Side 

Some people who self-harm find it hard to manage or “regulate” their emotions. You might feel like you’re stuck in a cycle of tension and release. Research shows that this can be linked to: 

  • Anxiety or depression  
  • Difficulties with problem-solving  
  • Feeling overwhelmed by emotions  
  • Acting out in other ways, like getting into trouble or withdrawing from others 

In some cases, there may be a psychological reason behind the self-harm, such as: 

  • Hearing voices that tell you to hurt yourself  
  • Repetitive thoughts or urges to self-harm  
  • Dissociation—feeling disconnected from your body or surroundings  
  • A mental health condition like borderline personality disorder 

You Deserve Support 

Whatever you're feeling, you don’t have to go through it alone. There are people who care and want to help. Reaching out is a brave and powerful step. 

Self-Care for Self-Harm

Taking care of yourself is an important step for managing self-harm. It might feel hard to start talking about how you are feeling, but many people find that just sharing their experiences can help them feel better. It may be that just having someone listen to you and show they care can help in itself.

Top Tips

  • Spend time with family and friends. Talk about your feelings to a friend or family member. You can also contact free helplines such as: Breathing Space on 0800 83 85 87, Samaritans on 116 123 or the Self Harm Network Scotland, who can provide support and resources, a live chat is available from 6pm to 10pm, 7 days a week. If you would rather get support via text messaging you can text Shout for free on 85258. Two people on their mobile phones looking at messages, music and videos
  • Understand, Distract and Delay. You can use Mind's Coping with Self-Harm Guide. Interrupt your urge to self-harm by doing something else. You can use distraction when you are feeling the urge, when you are aware you are actually self-harming, or even if you think you might feel your urges soon.

Self-Help Resources

Living with self-harm can be very difficult, but there are steps you can take that might help. These self-help guides, websites and apps may be helpful as you work towards eliminating self-harming behaviours. Like any new skill, it may take a bit of time and practice before you notice any changes in the way you feel.

Whether you sometimes think about self-harm, or you’ve already hurt yourself, Samaritans are there to listen. For every 10 calls they answer, one is about self-harm. And many people call because they want to avoid harming themselves in that moment. Contact Samaritans on 116 123.

Self-help Guides

NHS Ways to Avoid Self-Harm

NHS Inform Breathing and Relaxation

Websites

NHS Every Mind Matters offers a free Wellbeing Plan. Just answer 5 questions to get your free plan with tips to help you deal with stress and anxiety, improve your sleep, boost your mood and feel more in control.

Wellbeing Glasgow offer information to support you to manage how you feel, change the way that you think about some things and improve your problem-solving skills and confidence

Citizens Advice Scotland offer advice about benefits, debt problems, legal issues and local services. The Citizens Advice Bureau website has a directory listing its local offices.

Get Active is a great place to start if you are looking to become more active or increase your physical activity. They have a list of options to help you identify classes and activities offered throughout Greater Glasgow and Clyde.

Free Courses

Lifelink offer a variety of free online courses such as ‘Re-Assess your Stress’, ‘Art of Relaxation’ and ‘Coping with Change’. Each 2-hour class is delivered experienced facilitators. Participants with a Glasgow postcode can attend as many classes as they like. You can register directly for these classes without the need for any pre-assessment.

Living Life to the Full offer a course to help you learn new skills and tackle problems in your life that may be causing you to feel low worried or hopeless.

Need someone to talk to? 

A life buoy at sea

  • Samaritans Free, confidential support 24 hours a day, 365 days a year. 📞 Call 116 123 (freephone) 📧 Email: jo@samaritans.org 
  • Breathing Space (Scotland) A confidential phone line for anyone feeling low, anxious, or depressed. 📞 Call 0800 83 85 87 (free)  Weekdays: Monday-Thursday 6pm to 2am Weekend: Friday 6pm-Monday 6am 
  • Give us a shout A free, confidential, 24/7 text messaging service for anyone who is struggling to cope. 💬 Text 85258 (free) 
  • Self Harm Network Scotland, who can provide support and resources and a live chat is available from 6pm to 10pm, 7 days a week.

 

Editorial Information

Last reviewed: 28/07/2025

Next review date: 28/07/2026

Author(s): NHSGGC MH Supported Self-Management App Editorial Group .

Approved By: NHSGGC MH Supported Self-Management App Editorial Group

Reviewer name(s): NHSGGC MH Supported Self-Management App Editorial Group .