Self-Harm: Understanding, Preventing, and Supporting Those at Risk

Self-harm is a concerning behavior that often signals deep psychological pain or an internal struggle. It is not necessarily a desire to die, but rather a way for individuals to cope with intense negative emotions—such as sadness, anger, or frustration—that are difficult to express verbally.

Some people turn to self-harm as a temporary means of regaining control or releasing psychological pressure. However, this behavior poses serious risks to both physical and mental health and is often a sign that the person needs specialized psychological support to prevent escalation toward suicide.

Understanding the causes of self-harm and addressing them with awareness and empathy is the first step toward recovery, helping the individual find safer ways to express emotions and manage inner pain before it becomes life-threatening.

In a mental health awareness event hosted by Fouad Khoury BMG Hospital in Beirut, Nadormagazine spoke with Dr. Elio Sassin, a psychiatric specialist, about this important issue.

What Mental Health Conditions Lead to Self-Harm?

Approximately 90% of individuals who engage in self-harm or attempt suicide—the most extreme form of self-harm—suffer from psychiatric disorders. These are often common conditions such as:

  • Depression

  • Bipolar disorder

  • Psychosis

  • Anxiety disorders

  • Obsessive-compulsive disorder

For some, the psychological pain is so intense that they see no way out other than self-harm.

Are Effective Treatments Available?

Yes. All the mental health conditions mentioned can be treated if the individual seeks help from a qualified psychiatrist or psychologist before acting on harmful impulses.
Professional treatment can:

  • Provide the appropriate therapy for the specific condition

  • Reduce intrusive or harmful thoughts

  • Help the patient regain control over their emotions

Why Is Mental Health Awareness Important?

Many societies still view depression or psychiatric disorders as a personal weakness. Well-meaning comments like:
"What’s wrong with you? Your life is fine—just be strong!"
can be misguided and harmful, as they ignore the reality that mental illnesses are real health conditions, just like heart disease or diabetes.

It is crucial for family and friends to:

  • Observe early warning signs (persistent sadness, withdrawal, loss of interest, reduced communication)

  • Offer support and empathy, not judgment

  • Encourage professional treatment

Raising awareness helps prevent severe consequences for both the individual and their family. Mental illness is not a personal flaw, and society must embrace this understanding.

Does Genetics Play a Role?

Yes. Like other diseases—such as heart disease or cancer—mental disorders can have a hereditary component. Family history can increase risk, though it does not guarantee onset.

Differentiating Mild vs. Severe Depression

Determining whether depression requires professional intervention depends on careful evaluation. A psychiatrist or psychologist can:

  • Assess the severity of symptoms

  • Decide if medication is necessary

  • Recommend therapy sessions for milder cases

Even if a person does not outwardly appear depressed, they may still be suffering internally. Early professional assessment is key.

Recognizing Mental Health Warning Signs

Some behavioral indicators that a person may need psychiatric care include:

  • Rapid mood swings

  • Persistent sadness or gloom

  • Withdrawal from social interaction

  • Low energy or motivation

  • Sleep disturbances

  • Changes in appetite

If these symptoms persist for more than a month, professional evaluation is strongly recommended.

The Importance of Early Psychological Support

Early support is essential in preventing escalation of mental health problems. It helps the individual:

  • Cope with stress and difficult emotions before they become severe

  • Express feelings in a safe and healthy way

  • Strengthen relationships with family and community, providing an effective support network

  • Become more receptive to ongoing treatment

Steps to Provide Early Psychological Support

  1. Observe behavioral and emotional changes as indicators of potential need for support.

  2. Create a safe, nonjudgmental space for the person to talk openly, showing genuine empathy.

  3. Encourage professional help by accompanying them to a psychiatrist or therapist.

  4. Maintain follow-up care even after improvement, to ensure long-term psychological stability and prevent relapse.


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