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World Suicide Prevention Day: Knowing the difference between self-harm and suicidal behaviour

Self-injury and suicidal behaviour are often conflated, but they are not interchangeable. Even though they both are indicating very strong emotion, the meaning and implication of the two are vastly different. It is important to know this difference for prompt intervention and support

September 10, 2025 / 12:05 IST
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Self-harm and suicide may look similar but are driven by different intentions. Here’s how to tell them apart and respond with the right support. (Image: Pexels)

There are many behaviours that are warning signs for mental health problems, however two that often come to mind are suicidal behaviour and self-harm. They may be similar, but the rationale behind them is very different. Non-suicidal self-injury also called self-harm, is the deliberate act of harming oneself without the desire to commit suicide. Some people who self-harm do so to cope with or escape from what's going on in their lives, such as problems at home, at school, or with friends.

Conversely, suicidal behaviour refers to the thoughts, plans or actions of ending one’s existence. This is a serious mental health emergency that needs to be addressed urgently. It is crucial to be aware of these differences by parents, friends and relatives. Confusing the former with the latter may result in ill-advised reactions or unnecessary snubs of aid. Dr Riya Khanna, a Clinical Psychologist associated with Healthcare Global, Indore decodes the main differences and what they mean for support for mental health.

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Also Read: World Suicide Prevention Day: How to identify early warning signs of suicide in children and adults?

Intent: Coping vs. Ending Life