Substance Abuse and Self-Harm: Understanding the Connection and Seeking Help

Mar 12, 2025 | Addiction, Self-Harm

Self-harm and substance abuse are serious issues affecting many individuals, particularly adolescents. Studies from the U.S. National Library of Medicine indicate that between one-third and one-half of adolescents engage in self-harm, with over 70% attempting suicide at least once. Substance abuse, when combined with self-harm, can significantly increase the risk of injury, complicating both conditions and making recovery more challenging.

How Substance Abuse Affects Self-Harm

Substance abuse can exacerbate self-harm behaviors by impairing the brain’s communication system, making it harder for individuals to control their actions. When substances like alcohol or drugs are consumed while self-harming, they increase the likelihood of more severe injuries than intended. For example, substances such as opioids can create a “rush” feeling like the release of endorphins during self-harm, which may make the individual feel temporarily better, but this also heightens the risk of dangerous behavior and addiction.

Treatment for Substance Abuse and Self-Harm

Effective treatment for both substance abuse and self-harm typically requires professional intervention. Inpatient rehabilitation centers are often the most effective, offering a combination of therapies and strategies for recovery. Cognitive Behavioral Therapy (CBT) is one of the most widely used approaches, helping individuals develop healthy coping mechanisms and strategies for managing stress and emotions without resorting to substances or self-harm. Additionally, Medication-Assisted Therapy (MAT) can be used to manage withdrawal symptoms and reduce the risk of relapse in individuals recovering from substance abuse.

Individual or group counseling can also provide valuable emotional support, allowing individuals to process their feelings and connect with others experiencing similar struggles. Family therapy is particularly helpful for adolescents, providing a space for open communication and helping to address underlying issues contributing to self-harm or substance abuse.

Signs of Substance Abuse

Recognizing the signs of substance abuse can be challenging, but there are common behaviors that may indicate a problem:

  • An inability to stop using substances despite wanting to
  • Loss of interest in previously enjoyable activities or relationships
  • Neglecting responsibilities, such as school or work
  • Engaging in risky behaviors to obtain drugs or alcohol
  • Secrecy or hiding substance use
  • Increased tolerance or withdrawal symptoms when not using

Signs of Self-Harm

Self-harm, particularly among adolescents, is often a sign of emotional distress. Key signs include:

  • Unexplained cuts, burns, or marks on the body, especially on the arms, legs, or abdomen
  • Presence of sharp objects like razors or knives hidden in the room
  • Increased isolation, such as locking themselves in a room for extended periods
  • Removal of body hair to cover injuries
  • Evidence of self-harm found by family members, such as bloody razors or clothing

New Dimensions Can Help!

If someone you know is struggling with substance abuse and self-harm, New Dimensions can help!  New Dimensions offers Intensive Treatment Programs (PHP and IOP) for adolescents and adults who are struggling with substance abuse and/or mental health issues.  We have programs located in The Woodlands, Katy, and the Clear Lake area of Houston, Texas.  We also have online programs that are available to adults who reside within the State of Texas.  To learn more about our programs for mental health issues and/or substance abuse contact us at 800-685-9796.