If an injury needs medical attention, seek care now. If suicidal intent is present or you cannot stay safe, call or text 988 in the U.S.; call 911 for a medical emergency or immediate danger. Elsewhere, use local services. This page must not delay live help.
How to use this page
Seek live help first when needed. Use only questions that support care; no descriptions of methods, injuries, or concealment are needed.
Begin with care and dignity
You can say, “I have been hurting myself and need support,” without describing methods here. Nonsuicidal self-injury and suicidal behavior are different, but intentions and risks can change. A professional should ask about both without making assumptions.
Discuss what support should do
When immediate needs have been addressed, explore the situations and functions linked to self-injury with a qualified clinician. Ask for a collaborative care plan, follow-up, and accessible help during difficult moments. You deserve treatment without punishment or shame.
Reflection prompts
Use these questions in conversation, on paper, or in the downloaded PDF. You may adapt or skip a prompt.
- What immediate medical or safety concern needs a live helper’s attention?
- What would make talking about self-injury feel more respectful and manageable?
- What situations or needs would you like a clinician to help you understand, without method details?
- What follow-up contact or ongoing support do you want help arranging?