Care & support · Understand your options

Self-harm & getting support

If you have harmed yourself or are thinking about it, you can ask for care. Your physical and emotional needs both matter, and you do not have to take a test before getting help.

If you need help now

If your life is at risk, you have seriously harmed yourself or you cannot keep yourself or someone else safe, contact local emergency services or go to the nearest emergency department.

Selfmora cannot respond to emergencies, monitor your safety or send help. You can leave this page and contact support directly.

Choose a contact for where you are.

United States

Talk or text with a crisis counselor.

Call or text 988. Suicidal crisis or emotional distress in the United States.

24 hours a day, seven days a week. In a life-threatening emergency, call 911 or go to an emergency department.

NIMH support information What to expect from 988
England

Get urgent mental health advice.

Call 111. Select the mental health option for urgent mental health advice in England.

24 hours a day, seven days a week. In a life-threatening emergency, call 999 or go to an emergency department.

NHS urgent support information

Contacts checked against linked official guidance on 8 October 2026. A service’s response process can vary; ask about confidentiality and its limits. These numbers are for the locations labeled.

Outside these locations? Find your next support route
01 / Get a clearer picture

You can seek help for the whole experience.

Self-harm means intentionally injuring or harming yourself. Support is available whether this has happened or you are having thoughts or urges.

A health professional can address physical care and talk about distress and the surrounding circumstances. You do not need to decide whether an injury is “serious enough” to ask for advice.

Based on NHS · NHS

Support can begin with a few words.
A visual explanation

Care for physical and emotional needs.

  • Immediate help

    Emergency or urgent support when needed

  • Physical care

    Advice and treatment for an injury

  • A fuller conversation

    Distress, context and support needs

  • Continuing care

    A plan and follow-up you can ask about

Support routes, not severity bands, a risk prediction or a sequence to complete before getting help. Source: NHS
A closer look

You can ask for help in a few words.

A fictional starting point: “I am struggling with self-harm and need help with my safety and how I am feeling.” You can say this aloud, write it or ask a trusted person to help you contact care.

Based on NHS

02 / Make sense of what has changed

What would help you speak to someone?

Ways to describe a need, not a risk checklist.

Physical care

You need advice or care for a physical injury.

Thoughts & urges

You want help with urges or thoughts of self-harm.

Finding words

You would find a written opening easier than saying everything aloud.

What to expect

You would like someone to explain what an assessment involves.

Based on NHS · NHS · NHS

03 / Put your experience into context

Care should focus on needs and safety.

A professional can ask about your wellbeing, circumstances and what support is needed. You can ask how the conversation works and about confidentiality and its limits.

NICE advises against using risk scales to predict suicide or repeated self-harm or to decide who receives treatment. This hub offers no low, medium or high risk score.

Based on NHS · NICE

Your experience, in three prompts
  1. 1
    What do you need now?

    Urgent help, injury care or someone to talk to.

  2. 2
    What would make talking easier?

    A written opening or an explanation of the appointment.

  3. 3
    What happens between appointments?

    Ask who you can contact and how follow-up works.

Make a few notes
04 / Explore your support options

Physical care and emotional support belong together.

Explore the options and ask what fits your circumstances and needs.

Based on NHS · NHS · NICE

Physical and emotional care

Ask a health professional about an injury and support for what has led to the self-harm. A fuller assessment can help develop a care plan with you.

A plan for ongoing support

Care may include a suitable talking therapy and support for other difficulties. Ask about follow-up, who to contact if things worsen and what support is available between appointments.

Make room for what helps

Ask about care after the first conversation.

Physical and emotional care can both matter. Ask what follow-up is available and whom to contact if you need help sooner. Urgent medical needs should not wait for a questionnaire or routine appointment.

Based on NHS · NHS

05 / Choose your next step

Find support. Prepare your next step.

Explore a tool, prepare a conversation or find someone to talk to. Choose what feels useful to you.

You can go directly to support.

Use the free guides to learn what to expect or find someone to talk to. If you need urgent help, go straight to the country-labeled support contacts.

Find urgent support
Practical guideYour words

Prepare for a conversation

A few prompts to help you explain what you have noticed and what you would like help with.

  • A simple notes builder
  • Copy your notes to keep
  • No account needed

You decide how much to write and share.

Find your words
Support directorySomeone beside you

Find your next kind of support

Explore where to begin with everyday support, professional help or an urgent conversation.

  • Ways to ask for help
  • Country-specific crisis contacts
  • Support at your own pace

If you need urgent help, go straight to support.

Find support
You can start right here

Your first sentence does not need to be perfect.

You might contact a health professional or listening service and say that you need support with self-harm. If you need urgent help, use the routes at the top of this page rather than waiting to prepare notes.

Based on NHS · NHS · NHS · NIMH

“I need help with self-harm and how I have been feeling. Can you help me get care and explain what happens next?”
Make it sound like you
Things you may be wondering

Your questions, with room for nuance.

You can read just the answer you need.

Do I need to describe everything to someone I know?

You can begin with the fact that you need help. A health professional can explain what information is relevant to medical care and support.

Based on NHS

Where this information comes from.

Use this hub to learn and prepare questions. It does not diagnose you or recommend a personal treatment plan. By Selfmora editorial; sources checked . Updated .

Additional explanations and examples: sources consulted . Examples illustrate ideas; they do not assess your personal health. Your questions

Our editorial approach