Cutting Behavior in Teens

Causes and Treatment for Cutting Behavior in Teens

The teen years seem to be increasingly challenging, as new potential sources of pain and strife enter an already complex developmental phase in life. Social media has had a profound impact on this generation’s teens and young adults, afflicting them with feelings of self-doubt, a sense of inferiority, and a growing divide between the haves and the have nots. Teens may flaunt their designer clothes, ripped bodies, and filter-enhanced selfies on social media, causing other peers, or followers, to feel completely inadequate.

One of the most glaring signs of teen distress in our times is the spike in self-harming behaviors, especially among teenage girls. Since the early 2000s, self-harm rates among girls aged 10-14 jumped 166%, and rose 62% among girls aged 15-19, as reported by JAMA in 2017. Among the various methods of self-harming, cutting remains the one most accessed. Cutting behavior in teens has become a sort of coping mechanism. Much the same as abuse of drugs or alcohol serves as a method of self-medicating emotional strife, cutting is used to mitigate emotional pain as well.

Understanding why a teenager might resort to inflicting pain and damage to their body can help parents approach their teen with an appropriate, measured response that will yield a more productive outcome in the long-run.

About Cutting Behavior in Teens

Cutting is a form of self-mutilation in which an individual uses a sharp object, just as a razor blade, a knife, or even one’s fingernails to draw blood. The teen may cut their arms, wrists, legs, or bellies. Shockingly, teens who exhibit cutting behavior may have begun the practice even before adolescence.

Two assumptions that, at first blush, people might make cutting behavior in teens are that it is 1) a cry for help, and 2) an attempt to get attention. Although these presuppositions seem logical, they are incorrect, as cutting is neither a cry for help or an attempt at gaining attention. On the contrary, most teens who cut go to great lengths to hide their maladaptive behaviors from parents, teachers and friends.

Instead, cutting is more of a stress management tool, although a disordered one. Most of the teens who succumb to this self-destructive behavior are in some kind of emotional crisis and simply do not have the coping skills to manage it normally. To these adolescents, the intensity of the stress, anxiety, or emotional pain they are experiencing seems completely out of control and unmanageable. Cutting brings an immediate sense of relief, a release of the bottled up tension.

Why Do Some Teens Cut and Others Do Not?

According to Michael R. Hollander, Ph.D., approximately 14%-18% of high school aged kids engage in self-injury, as reported in the Huffington Post. That means that about 85% of teens access other types of coping skills to manage the strife that is associated with this age group. So what makes the difference?

Temperament has something to do with the disordered behavior of cutting. A teen whose personality is predominantly melancholic may have a more sensitive nature and be more introspective, internalizing strife. Another factor possibly attributed to teens that cut is emotional maturity and poorly developed coping skills for dealing with frustration. Still others might engage in the self-mutilation as a dare, or due to a trend in cutting and wanting to feel part of something.

In addition, cutting behaviors in teens are often co-occurring with mental health disorders, such as anxiety disorder, trauma disorder, bipolar disorder, depression, or substance use disorder. When this is the case, it is even more important for the teen to receive intensive psychological or psychiatric intervention.

What Other Types of Self-Harming Behaviors Do Teens Engage In?

While cutting is the predominant type of self-injury, there are other methods that teens may engage in to get the same desired emotional release. These include burning the skin with a cigarette butt, lighted match, or candle wax, skin picking, self-flagellation, and hair pulling. A common sign that a teen is engaging in self-injury might be they wear long-sleeve shirts or long pants, even in sweltering weather, to cover scabs, burns, scars, or bruises.

How To Approach Your Teen About Cutting

It is perfectly normal for a parent to initially be extremely upset and worried when learning their teen is engaging in cutting behavior. Some parents might immediately worry that it is a precursor to a suicide attempt or that it could reveal serious mental illness. But as natural a response at that might be, when approaching a teen about their cutting it is important to do so in a measured way. The goal is to get the teen to open up a dialogue about what is troubling them, allowing the parent to determine what the next best steps should be.

Parents should find a quiet, stress-free time to sit down and share concerns with their teen. Express an understanding of how difficult that stage of life can be, and make an effort to be nonjudgmental or highly emotional when having this discussion. Ask about what the teen is going through—a breakup, bullying, academic problems—to get a feel for the severity of the issue behind the cutting behavior, and validate the teen’s feelings that go along with it.

Treatment For Cutting Behavior in Teens

Initially, parents should consider getting a referral for a therapist who specializes in self-injury behaviors. The therapist will probably assign ongoing therapy sessions and may also suggest they join a group of other teens who also cut to share their stories and trials. If there is a mental health disorder accompanying the cutting behavior, the therapist may refer the teen to a psychiatrist who can prescribe appropriate medication.

If, however, the teen’s behaviors escalate and become more dangerous to their wellbeing, a residential program would be the appropriate level of care. In a supportive residential setting, the teen has the opportunity to work on their issues without the triggers that might be fueling the cutting behavior. Treatment will include various forms of both traditional psychotherapy and complimentary activities that enhance the overall treatment outcome.

BNI Treatment Centers Provide Residential Treatment for Teens in Los Angeles

BNI Treatment is a residential mental health and dual diagnosis treatment program for teens, providing individualized treatment for a wide array of mental health disorders including self-harm. At BNI Treatment, teens will participate in a careful intake process, including psychological assessments, medical exam, and an intake interview, that will help the clinical team design a completely customized treatment plan. BNI also provides medical detox and dual diagnosis treatment if a co-occurring substance use disorder is diagnosed. For more information about the program, please contact BNI Treatment at (888) 522-1504 to get your teen the help they need.

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