This document discusses self-harm and differentiates it from suicide. It defines self-harm as deliberately injuring oneself without suicidal intent in order to relieve intolerable emotions. Characteristics of self-harm include impulsivity, depression or anxiety, and finding relief from physical or emotional pain after injuring oneself. The document notes that self-harm is underreported and prevalence rates are estimated at 1-1.4% of the population, or higher for at-risk youth. Risk factors include a history of trauma, perfectionism, and relationship difficulties. The document provides advice on recognizing symptoms and supporting someone who self-harms.

1. Assess & respond to individuals at risk of self harm or suicide Understanding self harm / injury