Avoiding Self-harm (WIP)
TW: mentions of different reasons for self-harm, mentions of suicide
If you're looking for ways to help yourself right now, skip to Distractions, Simulation Alternatives, or Function Based Alternatives. If you have suggestions or feedback, please contact me via my Tumblr blog or my Neocities profile.
The best way to reduce harm from self-harm is to avoiding hurting yourself in the first place. For some people this could mean having a goal to reduce how often they self-harm or their goal might be to quit entirely. If reducing how often you self-harm isn't a goal right now that is ok too, but it might still be helpful to have ideas of ways you could avoid self-harm for the future or if you're ever in a situation where you cannot hurt yourself.
Below is advice on finding ways to help you avoid self-harm, both in the long- and short-term. Different people find different things helpful and even the same person will find some things help them at some times but not others. Because of this it can be helpful to try a number of different strategies for avoiding self-harm and having different ideas of things to try ready. It is completely normal and okay if something that helps other people doesn't help you, feel free to skip around to the sections of this guide you think will be most helpful.
Why You Self-harm
One of the reasons self-harm can be so difficult to avoid is that it usually serves a very important purpose in a person’s life, and it can take time to understand how it helps and what non-harmful things can be used in place of self-harm. The reasons people self-harm are extremely diverse and complicated and many people will have multiple different reasons for self-harming at different times. It can take time to understand the function of your self-harm and it's ok if you don't understand it yet or never do. All reasons for self-harm are real, valid, and important, even if they don’t make logical sense or aren’t common.
Example reasons for self-harming
- Expressing or communicating distress
- Help seeking
- Self-punishment or cleansing
- Self-harm as a compulsions
- Habit
- Coping with suicidal ideation
- Getting rid of sadness, anger, anxiety, etc.
- Dealing with hearing voices, seeing things, or other unusual experiences
- Getting rid of energy
- To get rid of or cause dissociation
- Distraction from emotions, memories, thoughts, etc.
- Comfort seeking
- Self-harm as self-care
- To feel pain
- To validate feelings
- Or many more not included on this list
Self-harm Journaling & Tracking
Asking yourself questions about you're self-harm and tracking when you self-harm or have self-harm urges can help you identify what function your self-harm has. You could do this in a notebook, on your phone, or you could use an online tool, like this one.
Here are some example questions to ask yourself about self-harm:
- Why did you first start self-harming?
- In what way(s) does self-harm help you?
- What things or situations cause self-harm urges? Are urges sudden or do they build over time?
- Do you notice any other patterns to your self-harm?
- Before you hurt yourself, how do you feel? What are you thinking? Do you act differently?
- After you hurt yourself, how do you feel? What are you thinking? Do you act differently?
Here are some examples of questions to ask yourself when tracking self-harm/urges:
- What were you doing that day?
- What happened before you had self-harm urges/self-harmed? Did something specific cause the urges? Was the urge sudden or did it build over time?
- How did you feel, what were you thinking, and how were you behaving before you hurt yourself/had urges?
- What did you try other than self-harm, if anything?
- How did you hurt yourself, if you did?
- How did you feel, what were you thinking, and how were you behaving after you hurt yourself or the urge passed?
It's ok if you don't know the answer to some or even any of these questions, it can take time to figure things out and even if you never do that's okay as well.
Reasons to Reduce Self-harm
Because self-harm can be helpful and self-harm urges can be very overwhelming, it can be difficult to remember why you want to reduce how often you self-harm or quit. Keeping a list of reasons to not self-harm on you or with your self-harm tools can help remind you of why you want to avoid self-harming. Below are some ideas to help you come up with reasons to not hurt yourself and ways to remember them, as well as some examples of reasons.
Pros/Cons List
This exercise is best done when you do not feel like self-harming.
On a piece of paper or your phone create four lists titled "pros of hurting yourself", "cons of hurting yourself", "pros of not hurting yourself", and "cons of not hurting yourself". For each list try and come up with as many pros/cons as possible, think back to times before when you've self-harmed. How did it help? How did it make the situation worse? Have you ever regretted harming yourself? What about times you have successfully avoided self-harming?
It's okay if you find it difficult to find reasons for any of the lists, you can always come back to this another time. In some situations, the pros of self-harm do outweigh the cons and that is ok. It just means you might still need to use self-harm sometimes until you can deal with the issues that cause you to self-harm in safer ways.
Example pros/cons list
Self-harming |
Not Self-harming |
|
|---|---|---|
Pros: |
|
|
Cons: |
|
|
Keep Reminders for Yourself
Keeping things that will remind you of why you want to reduce your self-harm with your self-harm tools or somewhere accessible like your phone. Some examples of things are...
- Photos of things you enjoy
- Items that remind you of positive memories
- The pros/cons list from above
- supportive letters from yourself or loved ones, these letters could include:
- Things you've regretted about self-harming
- Positive things that have happened or you felt because you didn't hurt yourself
- Things you are looking forward to
- Things that could help you feel better or help you avoid self-harming
- Use an app like I Am Sober to track reasons for not self-harming
Delaying
For some people self-harm can be very impulsive and sudden decision, so slowing it down and delaying can be all it takes for an urge to pass or reduce to a more manageable level. Here are some ideas for delaying self-harm, often time combining these strategies is more helpful then just using one. Different things are helpful for different people and at different times, so you might want to try these methods multiple different times, trying different things while you wait.
If you do still end up harming yourself you should still be proud of yourself for delaying for however long you did, all progress is good progress.
Set Boundaries Around Self-harm
If you're only trying to reduce how often you self-harm or be more in control, but not quit, setting boundaries or rules around when you self-harm can help. For example...
- Only self-harming during a certain time (for example, from 8-9pm)
- Trying a certain number of alternatives before hurting yourself
- Talking to someone about how you're feeling before you hurt yourself
- Not self-harming till previous injuries are fully healed
- Waiting a certain amount of time before hurting yourself
- Only hurting yourself if you have first-aid supplies
Make It Inconvenient to Self-harm
A small barrier can give you the time to calm down or think of other things to do.
- Plan to go swimming with someone soon
- Go somewhere public/with other people
- Keep busy in genreal
- Put your self-harm tools somewhere hard to get at
- Wrap them in plastic wrap
- Put them on a high shelf
- Give them to someone else
Urge Surfing/"5-Minute Rule"
Urge surfing is when you delay self-harming by setting a timer for a short, double, amount of time (for example, 5 minutes) where your wait out the urge. When the timer has run out, if you're still having urges, set another timer. This method is usaully used in combination with a distraction or self-harm alternative (see the ones in the sections below) or you can choose to just sit through and acknowledge the urge.
Sometimes remembering that just because you are choosing not to hurt yourself right now doesn't mean you can never do it again can help you get through the urge. This doesn't mean you have to self-harm later either.
Distractions
- Getting through the next few hours guide by Mind UK
- Call or text a friend or hotline
- Cloud/star gazing
- Create art; draw, colour, papier mache, clay, paint, cross-stitch, etc.
- Browse social media
- Do a puzzle; jigsaw, crossword, sudoku, wordle, Tetris, GeoGuessr, 2048, etc.
- Meditation, you can find guided meditation videos online
- Read about other people's experiences
- Clean your room
- Write something; you could try these writing prompts
- Go out; to a cafe, library, shop, park, etc.
- Yoga
- Bird watching
- Watch a movie/tv show
- Read random Wikipedia articles
- Read a book
- Hang out with a friend
- List things; movies, celebrities, animals, songs, etc. For more of a challenge list one thing for each letter of the alphabet
- Journal or blog
- Do gentle exercise; yoga, go for a walk
- Cook or bake
- Listen to music
- Paint your nails
Simulation Alternatives
Simulation alternatives are alternatives to self-harm that simulate sensory or other aspects of self-harm; pain, the look of wounds, blood, etc. Some of these can still cause the body harm, some people still count them as self-harm, and they aren't helpful for everyone. If you don't find these types of alternatives helpful see the sections above and below on Distractions and Function Based Alternatives.
- Capsaicin cream/roll on (causes a burning sensation)
- Using bandages/plasters where you want to harm
- Holding ice, splashing your face with cold water
- Wax your legs
- Get a piercing or tattoo
- Drawing or recreating self-harm injuries with makeup
- Watching horror movies with jump scares or action movies
- Clench your fists hard and then let them go
- Use red food colouring or paint to simulate blood
- Snap a rubber band on yourself
- Exercise
- Try progressive muscle relaxation
- Cut/tear/burn/etc. an item other than your body
- hit something soft
- Swallow round sweets (like skittles)
- Eating spicy or sour food
- Colour in old scars or places you've hurt before
- Draw self-harm on a photo or drawing of yourself
- Acupuncture rings or rollers
Function Based Alternatives
Often times alternatives to self-harm are over generalised and do not take into account the unique functions self-harm can have for different people, this can make these alternative ineffective for some people, especially in the long term. Instead, alternatives that are focused on the reasons and functions of self-harm can be more useful replacements. For example, if a person hurts themself to communicate and express distress holding ice probably wouldn't be helpful because that does nothing to help them express themself, but writing a poem about how they feel would express and communicate the person's distress in the same way self-harm does and then would be more likely to help.
Some people also find therapy helpful to find alternatives to self-harm and ways to manage other underlying issues. Medication can also be helpful to some people who self-harm. If you're interested in either of these options reach out to a medical or mental health professional.
Below are some alternatives and resources related to different functions of self-harm. It might take time for you to find what alternatives are helpful for you and it isn't uncommon for different thigs to help at different times, just because something didn't help the first time doesn't mean it will never help. It can be helpful to keep a list of alternatives that did and didn't help you before when you were having self-harm urges for different reasons (for example, "when I am struggling with hearing voices listening to music to drown them out helps instead of self-harming, but talking to someone else didn't help"). If you aren't sure why you hurt yourself see the first section of this guide titled "Why You Self-harm".
If you don't see your reason(s) for self-harming in this list that does not mean it is any less real than the ones that are listed. This is not an exhaustive list and your reason for hurting yourself is still just as important and valid.
If you have suggestions for more alternatives, resources, etc. to add, please send them to me via my Tumblr blog or comment them on my Neocities profile.
Anger
- Shock your body out of the anger:
- Splash your face with cold water
- Eat something very spicy/sour
- Do exercise that raises your heart rate (running, star jumps, dancing, etc.)
- Drink cold water
- Leave the situation; go for a walk, go to your room or somewhere private
- Hit a pillow or something soft
- Squeeze a stress ball
- Tear up paper
- Vent and write down whatever is making you angry
- Scream into a pillow
- Try a grounding techique, like one of these
- Flatten aluminium cans for recycling
- Scribble on paper and then make it into art
Resources
- Calm Harm, an app that recommends activities to help you "ride the wave" of self-harm urges. Activity categories are "comfort", "distract", "express yourself", "release", and "random"
- Dialectical Behavior Therapy (DBT) Tools, some people find DBT tools very helpful to help manage strong emotions instead of self-harming
Anxiety & Panic
- Shock your body out of the anxiety/panic:
- Splash your face with cold water
- Eat something very spicy/sour
- Do exercise that raises your heart rate (running, star jumps, dancing, etc.)
- Drink cold water
- Try a breathing exercise, like these ones
- Smell something strong, like an essential oil
- Do gentle exercise; yoga, go for a walk
- Imagine a different ending to distressing mental images; putting away self-harm tools instead of hurting yourself, leaving a situation that scares you or standing up to something that you’re afraid of
- Try a grounding techique, like one of these
- Call or text a friend or crisis/helpline
- Do something mindfully; pay extra attention to your senses, what can you feel, hear, smell, taste, and see?
Resources
- Getting through the next few hours guide by Mind UK
- Calm Harm, an app that recommends activities to help you "ride the wave" of self-harm urges. Activity categories are "comfort", "distract", "express yourself", "release", and "random"
- Dialectical Behavior Therapy (DBT) Tools, some people find DBT tools very helpful to help manage strong emotions instead of self-harming
Comfort Seeking & Self-care
- Take a nap
- Cuddle with a pet or plushie
- Put a bandage on where you want to hurt yourself
- Care for a plant or pet
- Treat yourself to something you enjoy; your favourite food, a bubble bath, a comfort show, spend time on a hobby, etc.
- Do something mindfully; pay extra attention to your senses, what can you feel, hear, smell, taste, and see?
- Spend time with or call a loved one
- Let yourself cry
- Wrap yourself up in a blanket
- Have a warm drink
- go for a walk in nature
- Ask a friend for some caring words about yourself and save them
- Put together a first-aid kit or self-soothe box
- Help someone else or sign up for volunteer work
- Do gentle exercise; yoga, go for a walk
- Give yourself a hug
- Tell yourself you are choosing to not self-harm to take care of yourself
Resources
- Calm Harm, an app that recommends activities to help you "ride the wave" of self-harm urges. Activity categories are "comfort", "distract", "express yourself", "release", and "random"
- Nurturing vs. Depleting Activities worksheet, to help you find self-caring alternatives
- How to practise self-care Finch, a self-care app
Control
- Change your appearance in a non-harmful way:
- Cut or dye your hair
- Draw on yourself with body markers, henna, make-up
- Paint your nails
- Try a different make-up or clothing style
- Get a piercing or tattoo
- Try doing the opposite action, for example instead of hurting yourself do something self-caring:
- Take a bath or shower
- Do something you enjoy
- Have a warm drink
- Watch a show you enjoy
- Call a friend
- Do gentle exercise; yoga, go for a walk
- Change your surrondings:
- Tidy up your space
- Rearrange furniture
- Put on or turn off music
- Repaint a wall
- Make art
- Imagine a different ending to distressing mental images; putting away self-harm tools instead of hurting yourself
- Do something mindfully; pay extra attention to your senses, what can you feel, hear, smell, taste, and see?
- Take care of a pet, plant, or help others (i.e. volunteer work)
- Tell yourself that you are choosing to not self-harm instead
- Try a grounding techique, like one of these
Resources
- Getting through the next few hours guide by Mind UK
- Dialectical Behavior Therapy (DBT) Tools, some people find DBT tools very helpful to help manage strong emotions instead of self-harming
Depression
- Shock your body out of the feelings:
- Splash your face with cold water
- Eat something very spicy/sour
- Do exercise that raises your heart rate (running, star jumps, dancing, etc.)
- Drink cold water
- Try a breathing exercise, like these ones
- Smell something strong, like an essential oil
- Call or text a friend or crisis/helpline
- Do something mindfully; pay extra attention to your senses, what can you feel, hear, smell, taste, and see?
- Do gentle exercise; yoga, go for a walk
- Try a grounding techique, like one of these
- Focus on one small win, no matter how insignificant it seems; getting out of bed, waking up, changing clothes, etc.
- Focus on getting through the next few minutes
Resources
- Getting through the next few hours guide by Mind UK
- Calm Harm, an app that recommends activities to help you "ride the wave" of self-harm urges. Activity categories are "comfort", "distract", "express yourself", "release", and "random"
- Dialectical Behavior Therapy (DBT) Tools, some people find DBT tools very helpful to help manage strong emotions instead of self-harming
Dissociation
- Shock yourself into the present:
- Splash your face with cold water
- Eat something very spicy/sour
- Do exercise that raises your heart rate (running, star jumps, dancing, etc.)
- Drink cold water
- Try a breathing exercise, like these ones
- Smell something strong, like an essential oil
- Call or text a friend or crisis/helpline
- Do something mindfully; pay extra attention to your senses, what can you feel, hear, smell, taste, and see?
- Do exercise to reconnect with your body/surrondings; yoga, go for a walk, dance
- Try a grounding techique, like one of these
Resources
Intrusive Thoughts
- Shock yourself out of the thoughts:
- Splash your face with cold water
- Eat something very spicy/sour
- Do exercise that raises your heart rate (running, star jumps, dancing, etc.)
- Drink cold water
- Try a breathing exercise, like these ones
- Smell something strong, like an essential oil
- Try doing the opposite action, for example instead of hurting yourself do something self-caring:
- Take a bath or shower
- Do something you enjoy
- Have a warm drink
- Watch a show you enjoy
- Call a friend
- Do gentle exercise; yoga, go for a walk
- Imagine a different ending to intrusive images; putting away self-harm tools instead of hurting yourself
- Do something mindfully; pay extra attention to your senses, what can you feel, hear, smell, taste, and see?
- Remind yourself it's just a thought
- Try a grounding techique, like one of these
Resources
- Self-Harm and Intrusive Thoughts: Changing Your Perspective
- Coping with Intrusive Thoughts About Self-Harm
- An Introduction to Mindfulness & Meditation
- Managing intrusive thoughts, specifically the what can I do right now section
- Managing intrusive thoughts and uncertainty
- Other people's stories; How I cope with intrusive thoughts and rumination, How I deal with intrusive thoughts
- Calm Harm, an app that recommends activities to help you "ride the wave" of self-harm urges. Activity categories are "comfort", "distract", "express yourself", "release", and "random"
- Getting through the next few hours guide by Mind UK
- Dialectical Behavior Therapy (DBT) Tools, some people find DBT tools very helpful to help manage strong emotions instead of self-harming
Managing Suicidal Thoughts
- Focus on getting through the next few minutes
- Call or text a friend or crisis/helpline
- Try doing the opposite action, for example instead of hurting yourself do something self-caring:
- Take a bath or shower
- Do something you enjoy
- Have a warm drink
- Watch a show you enjoy
- Call a friend
- Do gentle exercise; yoga, go for a walk
- Imagine a different ending to distressing mental images; putting away tools for hurting yourself instead of hurting yourself
- Do something mindfully; pay extra attention to your senses, what can you feel, hear, smell, taste, and see?
- Try a grounding techique, like one of these
Resources
- Calm Harm, an app that recommends activities to help you "ride the wave" of self-harm urges. Activity categories are "comfort", "distract", "express yourself", "release", and "random"
- Dialectical Behavior Therapy (DBT) Tools, some people find DBT tools very helpful to help manage strong emotions instead of self-harming
Sensory Issues
- Splash your face with cold water
- Touch something with a texture you like
- Eat something very spicy/sour or with a strong flavour
- Watch a water timer
- Try a grounding techique, like one of these
- Listen to music, a soundscape, white noise, etc.
- Use a weighted blanket
- Do something mindfully; pay extra attention to your senses, what can you feel, hear, smell, taste, and see?
- Smell something strong, like an essential oil
- Use headphones, ear defenders, or ear plugs to reduce sensory input
- Do gentle exercise; yoga, go for a walk
- Try a breathing exercise, like these ones
Resources
Self-expression or Communication
- Change your appearance in a non-harmful way:
- Cut or dye your hair
- Draw on yourself with body markers, henna, make-up
- Paint your nails
- Try a different make-up or clothing style
- Get a piercing or tattoo
- Make art (drawings, clay, paintings, collage, writing, poetry, etc.) about how you're feeling or about self-harm
- Talk to a friend, family member, or call a crisis/helpline or warmline
- Listen to music that aligns with how you feel
- Journal
- Read about other people's experinces with self-harm or distress
- Write a blog post for a mental health blog, like @self-harm-harm-reduction on Tumblr
- Vent or rant in a journal, your notes app, or online
Resources
- Calm Harm, an app that recommends activities to help you "ride the wave" of self-harm urges. Activity categories are "comfort", "distract", "express yourself", "release", and "random"
Self-punishment or Self-clensing
- Try doing the opposite action, for example instead of hurting yourself do something self-caring:
- Take a bath or shower
- Do something you enjoy
- Have a warm drink
- Watch a show you enjoy
- Call a friend
- Do gentle exercise; yoga, go for a walk
- Harm an object instead of yourself; crush drink cans, wrip up paper, cut cardboard
- Do something non-harmful that you don't enjoy; chores, listen to music you dislike, a cold shower
- Tell yourself you are choosing to not self-harm as punishment instead
Resources
- Calm Harm, an app that recommends activities to help you "ride the wave" of self-harm urges. Activity categories are "comfort", "distract", "express yourself", "release", and "random"
- Getting through the next few hours guide by Mind UK
- Dialectical Behavior Therapy (DBT) Tools, some people find DBT tools very helpful to help manage strong emotions instead of self-harming
Voice Hearing, Visions, & Other Unusual Experience
- Try distractions
- Use art to express the experience, instead of self-harm
- Talk about your experience; to a friend, a helpline, a therapist, a support group, online, in a journal
- Try a grounding techique, like one of these
- Try changing your setting; turn on music, go to a different room, go outside, change your clothes
- Try talking to voices instead of ignoring them or ignoring them instead of talking to them
- Let yourself rest
- Do something mindfully; pay extra attention to your senses, what can you feel, hear, smell, taste, and see?
- Exercise; yoga, running, walking, dance
- Pretend you're talking on the phone if you want to talk to voices around others without them knowing
- Shock yourself out of the experience:
- Splash your face with cold water
- Eat something very spicy/sour
- Do exercise that raises your heart rate (running, star jumps, dancing, etc.)
- Drink cold water
- Try a breathing exercise, like these ones
- Smell something strong, like an essential oil
- Imagine a different image/sound/etc; whispering as music, faces as just shapes
Resources
- Hearing Voices Network resources, check if your country has a HVN branch
- Coping with Hearing Voices
- Self-care for Hypomania and Mania
- Self-care and Support for Paranoia
- Self-care if You Experience Psychosis, specifically the Helping yourself during a psychotic experience section
- An Introduction to Mindfulness & Meditation
- Dialectical Behavior Therapy (DBT) Tools, some people find DBT tools very helpful to help manage strong emotions instead of self-harming
- Calm Harm, an app that recommends activities to help you "ride the wave" of self-harm urges. Activity categories are "comfort", "distract", "express yourself", "release", and "random"