Coping Mechanisms for Self Harm

Self-injury is sometimes used as a way of coping with negative events and feelings. It is often used as a result of not having learned how to identify or express difficult feelings in a more healthy way. Finding new, healthier ways to cope with these feelings can be difficult, especially when it comes to suppressing the urge to self-harm and injure. 

If you self-harm to express pain and intense emotions, you could:

  • Paint, draw, or scribble on a big piece of paper with red ink or paint
  • Start a journal in which to express your feelings
  • Compose a poem or song to say what you feel
  • Write down any negative feelings and then rip the paper up
  • Listen to music that expresses what you’re feeling

If you self-harm because you feel disconnected or numb, you could:

  • Call a friend (you don’t have to talk about self-harm)
  • Take a cold shower
  • Hold an ice cube in the crook of your arm or leg
  • Chew something with a very strong taste, like chili peppers, peppermint, or a grapefruit peel
  • Go online to a self-help website, chat room, or message board

If you self-harm to release tension or vent anger, you could:

  • Exercise vigorously—run, dance, jump rope, or hit a punching bag
  • Punch a cushion or mattress or scream into your pillow
  • Squeeze a stress ball or squish Play-Doh or clay
  • Rip something up (sheets of paper, a magazine)
  • Make some noise (play an instrument, bang on pots and pans)

Substitutes for the cutting sensation:

  • Use a red marker pen to draw on your skin where you might usually cut.
  • Rub ice cubes over your skin where you might usually cut.
  • Place rubber bands on your wrists, arms, or legs, and snap them instead of cutting.
  • Clench an ice cube in your hand
  • Write on your skin
  • Finger paint using red paint
  • On a photo or drawing of yourself, mark in red where you want to hurt yourself
  • Plunge your face into a sink full of freezing cold water for a few seconds