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What to Do with Thoughts of Self-Harm

February 24, 2020

It can start with a bad day, a bad breakup, fighting with a friend or family member, or so many other external things. Perhaps more often, it starts internally, when the chemicals in our brain become imbalanced. Depression doesn’t need a reason, it just is. One day we’re fine, the next day depression is there. Eventually, sometimes even very quickly, depression turns to thoughts of self-harm or suicidal ideation, or thoughts of taking your life. 

When this happens, you must tell an adult and seek medical care immediately and/or call 1-800-273-8255, the National Suicide Prevention Hotline. Now. Don’t read anymore. Go.

You Are Not Alone

Depression tends to make you feel alone and isolated, and as if no one cares about you. But there is always someone who does care about you and usually many people who care about you very deeply. If you feel like you do not have anyone to reach out to or no one who understands how you are feeling, call the National Suicide Prevention Hotline at 1-800-273-8255. They care about your life. They have been where you are right now before. And they know how to help you so that you don’t have to feel like this anymore.

Too many adolescents suffer from depression and many confess to having suicidal ideation. You are not alone in this struggle, many others all around you are having similar internal battles. It doesn’t mean you’re broken or damaged, it means that you are still alive. Keeping you alive is a fight worth fighting for, and someday, maybe you, too, will be helping other people just like you to know that they are not alone.


Self-harm is a rapidly growing practice that is glorified online. It defies how we are wired, everything our brain is trained to do is to keep us from harm, not inflict it upon ourselves. However, if you are considering self-harm, please tell an adult, go to the Emergency Room, or call the National Suicide Prevention Hotline at 1-800-273-8255. Because self-harm often flirts with death, and it is every bit as dangerous as a suicide attempt.

Suicidal Ideation

When you are deeply depressed, you may begin to think about suicide. In the beginning, you may just be wishing you could end it all, give up, check out. You may think the world is better off without you, but you are wrong. You are here for a reason, you have things to do, and people to touch and influence before your natural time is up. Suicidal thoughts are incredibly dangerous. You need to get help now. Once you start thinking about methods or making plans, it may be too late. And you don’t get a do-over on this one, it’s a very final decision. You should always call for a friend, too, if they ever talk about self-harm. You may just save their life.

If you are thinking of suicide in any way, call the National Suicide Prevention Hotline at 1-800-273-8255. Talk to them, they live to help you stay alive. They may have never met you, but they know your worth and they know how to help you find the right help for your situation. Plus, they are super nice and easy to talk to.

Not Natural

The concept of suicide is simply not natural. You are created and wired to preserve your life at all costs. Suicide is the complete opposite of that, your brain does not want you to be harmed in any way, particularly not by your own hands. So if you are thinking of harming or killing yourself, then you know that there is something malfunctioning in your brain. Sometimes when something is not working right in your brain, it is hard to know about it, but suicidal ideation and self-harm are huge red flags that you need medical treatment.

When to Get Help

Now. In the case of thoughts of self-harm or suicidal ideation, don’t even wait until the end of this article. Get help immediately if you have any thoughts like that at all. You never know when your brain is going to hit that final thought and then you will no longer have control over your thoughts and actions. Death is not something to gamble with. Your life is not something to gamble with. If you feel this way, find a parent, a teacher, a neighbor, or other trusted friend and have them get you to the emergency room or other facilities that can treat you immediately. If you don’t have anyone like that around, call the National Suicide Prevention Hotline at 1-800-273-8255. Now. (When something is repeated, it is very important.)

If you had a serious injury in a car accident, for example, you would go straight to the Emergency Room, possibly even in an ambulance, because your life is in danger, and your life is important. When you have thoughts of self-harm or suicidal thoughts, your life is every bit as in danger as if you had been in an accident. Just because people cannot see the damage and the potential danger does not mean it is not there. 

Never take thoughts of self-harm or suicide lightly. From you or anyone else.

Your life matters. You are meant to live a long, and happy life. Get that help today and live better and more powerfully because you made the call.

You can get help to prevent future thoughts of self-harm or suicidal ideation by calling Potomac Programs 1-855-809-0409 today. Don’t take any chances, this is your life, and you are worth it.

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