Self-harm can be a way of obtaining temporary relief from a difficult and otherwise overwhelming situation. People often self-harm to regain control of their situations, emotions or thoughts. It is often assumed that people who self-harm are suicidal, but for many people it is a way of coping or surviving.
In a large pupil survey carried out by Leeds City Council in 2222/23, 23% of secondary school pupils said that they had hurt themselves on purpose at some point.
22.4% of pupils also reported that they had thought about ending their own life at some point, with higher rates reported in groups such as those with a disability or who are LGBTQ+.
Although these high rates of suicidal thoughts are concerning, suicide in under 18s is rare. However all practitioners should understand the risk factors and how to talk to young people about suicide, and take seriously any reports of suicidal ideation.
Local guidelines
Supporting young people who self-harm or feel suicidal - A guide for practitioners in Leeds working with young people aged 25 - is aimed at anyone who works with children, young people and young adults in Leeds.
It explores self-harm behaviours, how to talk to and support a young person who is self-harming, understanding the risk and responding to their needs. Section 2 looks at suicide in young people and gives guidance on talking about suicidal thoughts, supporting someone who feels like this and understanding factors that increase the risk. It also covers information sharing and how to refer for further support.
Key messages:
- Do not be afraid to talk about self-harm and suicide
- Respond in a non-judgemental way
- Do not just focus on the self-harm or suicidal intent; consider the underlying issues
- Be clear about your own organisational policies
- Refer on for support or speak to a specialist if you are unsure about the level of risk
- Work with other practitioners to ensure relevant information is shared when appropriate
- Find information about support on the MindMate and MindWell websites
- Remember you can play a part in keeping young people safe
Hard copies are free to order from: Public Health Resource Centre at Tech North, 9 Harrogate Rd, Leeds LS7 3NB. Register here Public Health Resource Centre | Leeds.gov.uk
If you suspect a child or young person is being harmed or is at risk of being harmed then you must ensure Duty and Advice at the Front Door are contacted immediately. If a child or young person is at immediate risk of harm, contact the police on 999.
Find out about support young people can access directly here - Urgent help - all services - MindMate