Risky behavior

My Daughter Has Started Cutting. What Should I Do?

By Child Mind Institute, Understood Founding Partner

My daughter has started cutting. What should I do?

There are few things more disturbing for moms and dads than finding out that your child is intentionally hurting herself. Unfortunately, it’s very common, especially among girls. Experts call it “self injury,” and as many as a quarter of all teenagers do it.

The most common form of self-injury is cutting or scratching the skin with anything that causes bleeding, such as razors or even paperclips or pen caps. Some kids self-injure by burning themselves, picking at skin or wounds or even hitting themselves.

Your Reaction Is Important

If you discover that your daughter is cutting, it’s normal to be worried, afraid or even angry. But it’s extremely important that you avoid being judgmental toward your daughter. Comments like “How could you do this to yourself?” or “This has to stop right now” are the last things you want to say when beginning a discussion about cutting.

Instead, it’s important to understand that your child is in pain. Do not make her feel worse by making her ashamed. Tell her you are there to listen and to get her help. Chances are she wants to stop and doesn’t know how.

Why Do Girls Cut?

There are a number of different reasons people give for cutting.

  • The physical pain provides a distraction from intense emotional pain.
  • She feels dead or numb inside so she cuts in order to feel something.
  • It is a way of nonverbally communicating how unhappy she is and that she wants help.

But cutting is a complicated behavior and may serve all of these purposes for the same kid at different times. Whatever the reason, cutting develops as a bad way of managing the problems in a girl’s life. It brings temporary relief or distraction from those problems, but doesn’t help solve them.

Unfortunately, it’s also a bad “habit” that can be addictive. The more times a girl cuts to relieve emotional pain, the more she will feel the urge to do it again. That’s why getting help early is very important. Experts say that if you can get help before the cutter has performed 10 self-harming acts, the treatment is significantly easier. After that, it’s no longer just a behavior but a real addiction.

Cutting can also be copy-cat behavior inspired by YouTube videos that show other girls cutting. These videos have the effect of making self-injuring behavior seem normal and therefore encouraging it.

What Puts a Girl at Risk for Cutting?

  • Low self-esteem
  • Having had ADHD as a child, even if she no longer shows symptoms of it
  • Having another condition such as anxiety, depression, an eating disorder or bipolar disorder
  • Being sexually or physically abused
  • Feeling rejected and lonely
  • Feeling unsafe at school or at home
  • A tendency toward perfectionism
  • Frequent conflicts with friends and family
  • A tendency to be impulsive
  • A tendency to take risks

Red Flags for Cutting

If you suspect that your daughter may be hurting herself but you’re not sure, look for these signs:

  • Talking about self-injury
  • Suspicious-looking scars
  • Wounds that don’t heal or get worse
  • Cuts on the same place
  • Increased isolation
  • Collecting sharp tools such as shards of glass, safety pins, nail scissors, etc.
  • Wearing long-sleeved shirts in warm weather
  • Avoiding social activities
  • Wearing a lot of adhesive bandages
  • Refusing to go into the locker room or change clothes in school

What Are the Most Common Triggers for Cutting?

The irresistible impulse a girl feels to harm herself is almost always triggered by a specific event in her life. The most common “trigger” for cutting is feeling rejected: by a boyfriend, her close friends, or by a general feeling of being left out or criticized.

Other common triggers include

  • Anger
  • Depression
  • Fear
  • Numbness
  • Irritability
  • Loneliness
  • Upsetting memories
  • Difficulties with friends or family
  • YouTube videos that show other girls cutting

Does Cutting Lead to Suicide?

Self-injury might look like suicidal behavior, but it actually isn’t. People who self-injure aren’t trying to kill themselves. They are trying to manage whatever emotional pain they are feeling.

However, the behavior shows a depth of psychological suffering that could lead to a suicide attempt. It should be taken seriously.

The behavior is also dangerous because people who cut may hurt themselves more seriously than they mean to or develop infections from their wounds.

How Can I Help Her Stop?

  • Evaluation: To begin with, you should have your daughter evaluated by an experienced mental health professional to find out what her reasons for hurting herself are and whether they may be connected to another disorder.
  • Dialectical behavior therapy (DBT): One highly recommended treatment is DBT, in which a psychologist works with your child to help her learn how to tolerate uncomfortable feelings without resorting to cutting. In DBT kids are taught how to regulate emotions like anger, anxiety and rejection.
  • Cognitive behavioral therapy (CBT): In cognitive behavioral therapy, a psychologist teaches your child to challenge negative, distressing thoughts, to recognize the pattern and train herself to think outside it. In many cases, particularly with teenagers, this treatment is very successful.
  • Family therapy: If there is a lot going on at home—fighting, job loss, a death, anything that could be the source of your daughter’s emotional troubles—family therapy is a good way to begin treatment for cutting.
  • Medication: Often if there is another disorder involved, a doctor will prescribe medication to treat that condition. The combination of medication and psychotherapy is very successful at treating kids who self-harm.

Breaking the cycle of self-harm is not easy. Treatment can be an emotionally challenging time for your kid while she’s going through it.

It will help her if you let her know that you are there for her and provide her with empathy, caring and unconditional love and acceptance.

About the Author

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Child Mind Institute, Understood Founding Partner is dedicated to transforming mental health care for children everywhere.

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