Columbia University Health Services

Self-injury is very common among survivors of childhood sexual abuse and rape. We hope that by sharing information on self-injury, people will seek the help and support they deserve and those who know someone who is self-injuring will better understand ways to offer support.

Cutting, burning and bruising their own body, are ways that some survivors may cope with the trauma of childhood sexual abuse, sexual assault and rape. For some people self-injury is a way to:

• Release anxiety
• Deal with traumatic memories about the abuse
• Cope with repeated nightmares
• Handle difficult or stressful situations
• Give a physical representation of feelings they cannot express
• Help end feeling numb and feel something again
• Feel as if they are in control
• Help them feel safe

Usually self-injury is not a suicide attempt, but rather a way to accomplish one of the above things.

Self-injuring does not mean that the person is “sick” or “crazy.” Rather, self-injury is a way to cope with a highly traumatic experience. While self-injury is not uncommon, it is very serious and represents that the person is in a lot of emotional pain. 

Other things that may be greatly affected in someone’s life because of the self-injury include intimate relationships, ability to focus at school or work, and friendships. Often, those who self-injure feel a lot of guilt, self-loathing and shame from this behavior.

Finding a safe and knowledgeable person for the self-injurer to talk with is very important. Self-injury can also become “addictive” if it is not addressed. Understanding what feelings may make someone want to self-injure is an important part of gaining control over self-injury. This is a challenging process for a survivor; support from others can assist them greatly during this time.

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Counseling and Psychological Services (CPS) supports the psychological and emotional well-being of the campus community by providing counseling, consultation, and crisis intervention. For more information go to Making Appointments. 

Sexual Violence Prevention and Response Program (SVPRP) provides comprehensive and integrated education, support and advocacy about sexual and relationship violence. The program supports survivors and fosters individual and collective action to end sexual and relationship violence. For more information go to the Sexual Violence Prevention and Response Program. 

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