A significant number of people are secretive about their self-harming behaviours. Keep in mind that unless you are a medical professional or someone directly responsible for a person’s safety (Teacher, counsellor, therapist, parent, etc.), you should be careful with bringing up the topic of self-harm to someone you suspect engages in self-harm. If they are reluctant to speak to you, do not press further. We shouldn’t disrespect someone’s wish of wanting to keep their self-harm secret, but if you notice these signs from a loved one, you can guide them to the appropriate support service or let them know that you are there to support them. Ultimately, creating an open and non-judgmental space is crucial in supporting those who may be struggling, while reassuring them that they are not alone as they navigate their journey towards healing.

Here are several signs to look for:
- Always wearing long pants and long-sleeved shirts, even in hot weather: This is usually done to hide self-harm injuries.
- Unexplained injuries like wounds, scars, or bruises: Not having a concrete explanation for injuries may indicate self-harm.
- Frequent reports of “accidents” or clumsiness: A person who claims they have accidents, or is “clumsy” frequently may indicate self-harm.
- Blood stains on clothes and discarded tissues: Unexplained blood stains on clothes or discarding bloody tissues may indicate self-harm.
- Sharp objects or harmful tools in the person’s belongings.
- Wearing numerous bracelets or wristbands: Usually done to hide self-harm injuries.
- Aversion to changing in front of others: Usually done to hide self-harm injuries.
- Avoiding medical care for wounds and injuries: Reluctance to seek help when dealing with unexplained or recurring injuries may be a sign of self-harming behaviour.
- Writing, journaling, or drawing about self-harm/emotional distress: May indicate self-harm behaviour.
- Irritability, and/or personality changes: Behavioural symptoms like these, alongside other signs, may indicate self-harming behaviour.
- Social withdrawal and/or isolation: No longer participating in activities, avoiding social events, spending more time alone, etc. may indicate self-harming behaviour.
- Difficulty discussing emotions and behavioural changes or deflecting questions: Avoiding conversations about feelings, struggles, or changes in behaviour may signal underlying distress and possible self-harm.