If your child has tried to hurt themselves before, even small behavior changes can feel hard to read. Learn the warning signs of a repeat self-harm or suicide attempt in teens and children, and get clear next-step guidance based on what you’re seeing now.
Share what changes you’ve noticed since your child’s past self-harm or suicide attempt, and get personalized guidance to help you understand whether the current risk may be rising.
A past suicide attempt or self-harm episode is one of the strongest indicators that a child or teen may need close support again, especially during periods of stress, conflict, isolation, or emotional overwhelm. That does not mean another attempt is certain. It does mean new warning signs should be taken seriously. Parents often notice shifts before a crisis becomes obvious: withdrawal, hopeless comments, secrecy, giving things away, changes in sleep, renewed self-harm behaviors, or a sudden calm after intense distress. Looking at patterns early can help you respond sooner and more confidently.
Watch for hopelessness, shame, feeling like a burden, saying others would be better off without them, or talking more often about death, disappearing, or not wanting to be here.
Pay attention to isolation, quitting activities, increased agitation, risky behavior, hiding injuries, searching for ways to self-harm, or returning to places, objects, or routines linked to the earlier attempt.
A sharp drop in mood, major sleep changes, giving away possessions, saying goodbye in unusual ways, or becoming unexpectedly calm after severe distress can all be important signs to take seriously.
Ask yourself what is new, more intense, or happening more often than usual. A pattern matters more than one isolated moment, especially if several changes are happening together.
Risk can rise after breakups, bullying, discipline conflicts, school stress, anniversaries of a past attempt, substance use, or a recent loss. Noticing what happened before the change can help you act earlier.
Parents often sense when something feels different, even before they can explain why. If your child has a history of self-harm or a suicide attempt, it is appropriate to seek support sooner rather than wait.
Ask clearly if they have been thinking about hurting themselves again. Staying calm, listening closely, and avoiding judgment can make it easier for your child to answer honestly.
Reduce access to medications, sharp objects, cords, firearms, and other means. Stay nearby if your concern is rising, and do not leave them alone if you believe the risk may be immediate.
An assessment can help you organize what you are seeing, identify whether warning signs point to higher risk, and understand what kind of support may be needed now.
Common warning signs include talking about wanting to die, hopelessness, renewed self-harm, withdrawing from others, giving away belongings, searching for methods, increased agitation, substance use, and sudden mood or sleep changes. If your child has attempted before, these signs deserve prompt attention.
Look for changes from their normal behavior, especially if several signs appear together or intensify quickly. Risk may be higher if your child is facing a recent stressor, has access to means, seems more secretive, or is talking as if there is no future.
Not always. Some changes may reflect stress, depression, anxiety, or recovery struggles rather than an immediate plan. But because a previous attempt raises concern, it is important to take changes seriously and assess them in context rather than dismiss them.
Start by asking directly about thoughts of self-harm or suicide, stay with them if your concern is high, reduce access to dangerous items, and seek urgent help if you believe the risk may be immediate. If you are unsure, getting personalized guidance can help you decide the safest next step.
Answer a few questions about what has changed, how recently it started, and how concerned you are right now. You’ll receive clear, topic-specific guidance to help you respond to possible repeat self-harm or suicide risk in your child.
Answer a Few QuestionsExplore more assessments in this topic group.
See related assessments across this category.
Find more parenting assessments by category and topic.
Crisis Warning Signs
Crisis Warning Signs
Crisis Warning Signs
Crisis Warning Signs