Friends of young people who self-harm or have suicidal thoughts may need additional support to prevent negative outcomes on their own mental wellbeing, in addition to the support needed by young people who self-harm. While much research rightly focuses on young people at risk and their families, friendships are rarely considered in research into self-harm, according to a new study from experts at the University of Birmingham. In an extensive literature review, the team set out to draw together all the research in this area to reach a better understanding of common themes around friendship and self-harm in young people.
The study, published in The Lancet Psychiatry , considers the experiences and perspectives of young people who self-harm, and of friends who find themselves in a position of supporting a young person who is self-harming. Self-harm is considered a major public health concern, with between 10-20% of young people aged between 11 and 25 self-harming – a figure that has been steadily rising in recent years. During adolescence, peer relationships become increasingly important.
The associations between friendships and self-harm are known to be crucial, but the nature, direction and strength of these is unclear. Our review shows that young people who self-harm are in need of support, and often confide in their friends who they trust and feel close to. However, this may have a knock-on impact on their friends' wellbeing.
A specific recommendation based on this review .
