Self-harm is a complex and sensitive issue that often evokes feelings of confusion, concern, or even fear. Whether we are hurting ourselves or worried about someone close to us, we have likely encountered various opinions and beliefs about why and who does it, claims like “they’re just looking for attention” or “if it’s not life-threatening, it’s not truly serious.”
In reality, the situation is usually far more nuanced. Self-harm is typically a sign of deep distress and an attempt to cope with overwhelming or unexpressible emotions. In this article, we will address some of the most common myths regarding self-injury and self-harm.
Myth 1: Self-harm is always a sign of suicidal behavior
Self-harm does not necessarily indicate a desire to end one’s life. Many people hurt themselves to cope with profound emotional pain, anxiety, or a sense of loss of control, seeking temporary relief.
While self-harm is defined as an act of self-injury not intended to cause death, there is a correlation between self-harm and suicidal tendencies. Therefore, any instance of self-harm, whether mild or severe, must be treated as a risk factor for suicide. A clinical diagnosis and lethality assessment can only be performed by a qualified mental health professional.
Myth 2: Self-harm is an attempt to seek attention
Many believe that those who self-harm do so to get attention from others, but the opposite is often true. Most individuals who self-harm do so in secret, targeting areas of the body that are hidden or covered by clothing, and often feel intense shame or guilt. Typically, the act is a way to manage internal emotional pain rather than a bid for attention.
Myth 3: Only teenagers and young people self-harm
While adolescents are a high-risk group, self-harm is not limited to this age range. It occurs among adults and, in some cases, even young children. Research from various countries indicates that the prevalence of self-harm among adolescents (ages 10–19) is approximately 17% (21.4% among females and 13.7% among males), and approximately 5.5% among the adult population.
Myth 4: If the injury isn’t severe, it doesn’t require treatment
Even if injuries appear relatively minor, they are a symptom of significant emotional distress. Any level of self-harm requires attention and intervention, as it signals a struggle to cope with emotions and anxiety.
Myth 5: Self-harm only occurs among people with severe mental illness
Self-harm can occur in individuals who have not been diagnosed with a major mental illness. Sometimes, people self-harm due to situational stress, depression, anxiety, or trauma without meeting the criteria for a chronic psychiatric disorder. While self-harm is a clear sign of psychological distress that requires attention, it is not always indicative of severe mental illness.
Myth 6: Talking about self-harm will encourage people to do it
Open, fact-based discussion about self-harm does not encourage the behavior. On the contrary, it helps build awareness, provide education, and offer coping tools. Discussing the topic responsibly can reduce stigma and empower individuals to seek professional help without the fear of being judged.