Editorial illustration for the How to help a friend who's hurting themselves guide
Getting Help

How to help a friend who's hurting themselves

If you've found out that a friend is self-harming, it's normal to feel scared, helpless, or unsure what to say. You don't have to fix it, and you're not responsible for keeping them safe on your own. What you can do is be a kind, steady person who helps them reach real support. This page won't go into methods or details, it's only here to help you help them.

πŸ’­

Recognise any of this?

Being the friend who knows is a heavy spot to be in. These feelings are completely normal.

😰You saw marks, or they told you, and now you're scared of saying the wrong thing.
🀝You feel like it's on you to keep them safe, all by yourself.
🀫They begged you not to tell anyone and you don't know what to do with that.
πŸ”You keep replaying it, wondering if you somehow missed the signs.

πŸ’œYou're a good friend for caring this much. Here's how to help without carrying it alone.

01

Stay calm and don't make them feel judged

Try not to react with panic, anger, or disgust, even if you're frightened for them. A gentle "I'm really glad you told me, you're not in trouble" helps them feel safe enough to keep talking instead of shutting down.

02

Listen more than you talk

You don't need the perfect words. Ask how they've been feeling and really listen, without rushing to advice. Often the most powerful thing you can offer is "that sounds so hard, I'm here."

03

Gently encourage them to tell a trusted adult

This is the most important step. A parent, school counsellor, GP, or helpline can give the kind of support a friend can't. Offer to help them find the words, or to sit with them while they do it, so they don't have to face it alone.

04

Tell a trusted adult yourself if you're worried for their safety

If your friend is in danger or you're really scared, telling a safe adult is not betraying them, it's keeping them safe. You can say "I'm only telling you because I care about them." A secret about self harm is one that's okay, and important, to share.

05

Look after yourself too

Carrying a friend's pain is heavy, and it's okay if it affects you. You're allowed to talk to your own trusted adult about how you're feeling. You can be a good friend without becoming their therapist, those are two different things.

You do not have to fix your friend. Staying, listening and telling someone who can help is already enough.


How to actually be there

You can't fix it, and you're not meant to. But the way you show up really does help. Here's how to do it without burning yourself out.

06

Keep checking in, even after the big conversation

A simple "how are you doing today?" days or weeks later tells your friend they're not a one off crisis to you, they're someone you care about ongoing. Consistency matters more than saying the perfect thing.

07

Set kind limits so you don't burn out

It's okay to say "I really care about you, and I'm not able to reply through the night, but here's a number you can call any time." Looking after yourself isn't abandoning them, it's what lets you keep being a good friend.

🧰Do & don't tool kit

Do stay calm, listen, and thank them for trusting you. Don't react with panic, anger, or disgust, even if you're scared inside.
Do gently encourage them toward a trusted adult. Don't promise to keep it a total secret, their safety comes before a promise.
Do focus on the feelings underneath. Don't ask for details, demand they "just stop," or check on them in a way that feels like policing.
For you both: YoungMinds, Childline (0800 1111), text SHOUT to 85258, PAPYRUS HOPELINE247 (0800 068 4141). YoungMinds also has guidance written for friends who are supporting someone.

πŸ’¬Things that are genuinely helpful to say

"Thank you for telling me. That took a lot, and I'm really glad you did."
"You're not in trouble and I'm not judging you. I just want you to be okay."
"I think this is bigger than just us, can we tell someone who can really help? I'll go with you."

✨Try this

Decide together on one trusted adult to tell, and offer to be there when it happens, sitting next to them, helping them find the words, or even just waiting outside the door. Telling someone with a friend is far less frightening than doing it alone, and it's often the single most helpful thing you can do.

Why this matters

Friends are often the first, and sometimes the only, people a struggling teen confides in. That means you're in a really caring position, but it was never meant to be yours to hold alone. Helping them reach a trusted adult or helpline isn't going behind their back, it's making sure they get support that actually lasts.

If your friend has hurt themselves badly or talks about not wanting to be here, tell a trusted adult straight away, or call 999 in an emergency. They, or you, can also contact Childline on 0800 1111, text Shout on 85258, or call PAPYRUS HOPELINE247 on 0800 068 4141, all free and built for young people.

Understand it

Being the friend who knows is a heavy spot to be in. These feelings are completely normal.

You might notice:

  • You saw marks, or they told you, and now you're scared of saying the wrong thing.
  • You feel like it's on you to keep them safe, all by yourself.
  • They begged you not to tell anyone and you don't know what to do with that.
  • You keep replaying it, wondering if you somehow missed the signs.
  • Start here if it feels right: Stay calm and don't make them feel judged.
  • Or give this a go: Listen more than you talk.

In real life

A friend is self-harming and you don't know what to do? Here's how to be there for them, and for you.

Things you can actually try:

  • Stay calm and don't make them feel judged: Try not to react with panic, anger, or disgust, even if you're frightened for them.
  • Listen more than you talk: You don't need the perfect words.
  • Gently encourage them to tell a trusted adult: This is the most important step.
  • Tell a trusted adult yourself if you're worried for their safety: If your friend is in danger or you're really scared, telling a safe adult is not betraying them, it's keeping them safe.
  • Look after yourself too: Carrying a friend's pain is heavy, and it's okay if it affects you.
  • Keep checking in, even after the big conversation: A simple "how are you doing today?" days or weeks later tells your friend they're not a one-off crisis to you, they're someone you care about ongoing.
Need more support? See your options

If you need help right now, please don't wait. Call 999 if you are in danger. Call Childline free on 0800 1111, any time of day or night, about anything at all. Text SHOUT to 85258 if you would rather not talk out loud. There are more places to turn on the Get Support page.

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A quick, honest note: I'm currently working towards my psychology degree and have spent years studying human behaviour, trauma and healing, but I'm not yet a therapist, counsellor or psychologist and I'm not claiming to be one. This guide was written as a means of support, built from years of study, lived experience and genuine care, not as a replacement for professional or clinical help. If what you're going through feels bigger than this page can hold, please reach out to one of the services on the Get Support page, or to your GP.