Clinical Topic

Self-harm & safety: what to do right now

If there is immediate danger — call emergency services. If your teen is self-harming or talking about suicide, take it seriously, respond calmly, and get professional help today. This page is about safety, not programs.

Get urgent help Book an urgent consultation

In immediate danger? Call your local emergency number right now. For a list of helplines and what to do in a crisis, see our safeguarding page.

What it looks like

Common signs to notice

These are signals, not diagnoses. Most teens show some of these at some point — what matters is the pattern, persistence, and impact.

!Talking about wanting to die, being a burden, or not wanting to be here
!Unexplained cuts, burns, or injuries — often hidden
!Giving away belongings or saying goodbye
!Sudden calm after a period of deep distress
!Withdrawal, hopelessness, or reckless behaviour
!Self-harm that is escalating, or risky methods

Normal vs concerning

Developmental phase, or something more?

Adolescence is a moving target. These contrasts help you think — they do not replace assessment.

Developmentally normal

Worth understanding

—

Any expression of suicidal thoughts must be taken seriously, every time

—

Any new or repeated self-harm needs professional assessment

—

A suicide plan, means, or timeline is an immediate emergency

—

Statements about being 'a burden' are a warning sign, not drama

When to assess

When assessment actually helps

Assessment is for deciding whether something warrants professional attention — not for labelling. These are the situations where it earns its place.

You have seen or suspect self-harm

Your teen has mentioned suicide or death

There's a major change in mood, sleep, or withdrawal

You're unsure whether to be concerned — err on the side of asking for help

How it works

How assessment works

Screening is not diagnosis. Screening gives a signal; professional assessment builds the picture.

1Professional risk assessment happens calmly and directly — asking about suicide does not plant the idea
2Assessment covers thoughts, plans, means, and protective factors
3A safety plan is built with your teen, not imposed on them
4Escalation to emergency or specialist care happens when risk requires it
5No developmental program replaces professional assessment in a crisis

Your options

Choose the right kind of support

Different situations need different responses. Start with understanding, screen where it helps, and route to assessment or developmental support accordingly.