Child Psychiatry Consult

Self-harm


 

Tips for parents and guardians

  • Validate the underlying emotions while not validating the behavior. Self-injury is a coping strategy. Focus on the driving forces for the actions rather than the actions themselves.
  • Approach your child from a nonjudgmental stance.
  • Recognize that change may not happen overnight, and that there may be periods of regression.
  • Acknowledge successes when they occur.
  • Make yourself available for open communication. Open-ended questions may facilitate more dialogue.
  • Take care of yourself as well. Ensure you use your supports and are engaging in healthy self-care.
  • Take the behavior seriously. While this behavior is relatively common, do not assume it is “just a phase.”
  • While remaining supportive, it is important to maintain a parental role and to keep expectations rather than “walking on eggshells.”
  • Involve the child in identifying what can be of support.
  • Become aware of local crisis resources in your community. National resources include Call 1-800-273-TALK for the national suicide hotline or Text 741741 to connect with a crisis counselor.

Things to avoid

  • Avoid taking a punitive stance. While the behavior can be provocative, most likely the primary purpose is not for attention.
  • Avoid engaging in power struggles.
  • Avoid creating increased isolation for the child. This can be a delicate balance with regard to peer groups, but encouraging healthy social interactions and activities is a way to help build resilience.
  • Avoid taking the behavior personally.5

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