Understanding Non-Suicidal Self-Injury in Singapore: A Silent Struggle

Non-suicidal self-injury (NSSI) is a behaviour that is often misunderstood and deeply stigmatised. It affects people across all age groups and backgrounds, yet remains shrouded in silence—particularly here in Singapore, where conversations around mental health are still gaining traction.

At Inside Out Counselling & Wellness Practice, we believe that raising awareness is a crucial first step in supporting those who are struggling. The increasing incidence of NSSI, particularly among youth, signals the urgent need for compassion, understanding, and informed responses.

What Is Non-Suicidal Self-Injury?

NSSI refers to the deliberate act of harming one’s own body without suicidal intent. Common forms include cutting, burning, hitting, or scratching oneself. Unlike suicide attempts, the goal is not to end one’s life, but rather to cope with emotional pain, numbness, or a sense of being overwhelmed.

For many, self-injury serves as a temporary release—a way to feel something, regain a sense of control, or manage distress that words cannot express.

A Glimpse at the Local Landscape

While hard statistics on NSSI in Singapore remain limited, recent research is shedding light on the issue. A major study published in March 2025—“Prevalence and correlates of nonsuicidal self-injury among youths in Singapore: findings from the National Youth Mental Health Study”—revealed that 1 in 4 youths (25%) aged 15 to 35 reported engaging in NSSI at least once in their lifetime.

This growing concern is echoed by local school counsellors, therapists, and youth workers. Many young people engage in self-harm silently, often without their families or teachers noticing. The lingering stigma around mental health, cultural expectations to “stay strong,” and fear of judgment contribute to a reluctance to seek help.

Why Do People Self-Injure?

There is no single reason behind NSSI. Often, it arises from a combination of emotional, psychological, and social factors such as:

• Difficulty regulating emotions

• Past trauma or abuse

• Depression, anxiety, or overwhelming stress

• Feelings of isolation or rejection

• Academic and familial pressure

• Low self-esteem or self-criticism

  
  

It’s important to understand that NSSI is not a cry for attention—it is usually carried out in private and with shame. Shaming or punishing someone who self-injures can increase their distress and worsen the behaviour.

Warning Signs to Watch For

If you're a parent, educator, friend, or colleague, recognising the signs of self-injury can be a powerful way to support someone early on. Look out for:

• Unexplained cuts, bruises, or burns

• Wearing long sleeves even in hot weather

• Avoiding social activities or sudden withdrawal

• Mood swings, irritability, or emotional numbness

• Expressing feelings of worthlessness or self-hate

  
  

How You Can Support Someone Who Is Self-Injuring

If someone confides in you—or you suspect they may be self-injuring—your response can make a big difference. Here are some gentle, supportive ways to help:

• Stay calm and non-judgmental. Avoid reacting with anger or shock. Respond with compassion and curiosity.

• Create a safe space to talk. Try open-ended questions like, “You’ve seemed down lately. Is there anything you’d like to talk about?”

• Avoid ultimatums. Telling someone to "just stop" can be harmful. Focus on understanding their pain instead.

• Encourage professional help. Let them know they don’t have to face this alone. Offer to support them in finding a therapist or mental health service.

• Take care of yourself too. Supporting someone in distress can be emotionally heavy. Reach out for support if you need it.

  
  

Accessible Support Services in Singapore

If you or someone you know is struggling, these local resources offer free or low-cost help:

📞 Samaritans of Singapore (SOS)

24/7 emotional support for anyone in distress. Call: 1-767; www.sos.org.sg

🏥 Institute of Mental Health (IMH) – Mental Health Helpline

Crisis support and mental health advice. Call: 63892222

A Call for Compassion

At its core, non-suicidal self-injury is a signal of deeper emotional pain—not a sign of weakness or moral failing. By fostering a culture of empathy and mental health literacy, we can ensure that those who are hurting feel safe enough to reach out.

Every act of kindness, every listening ear, and every supportive response counts.

Let’s create a Singapore where no one suffers in silence—and where healing becomes possible.

If you or someone you care about is struggling with self-injury, know that help is available. At Inside Out Counselling & Wellness Practice, we offer a safe, non-judgmental space to explore these challenges together.

We’re here to help. Book a confidential session with one of our therapists today.

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