Psychiatrist explains adolescent self-harm and suicidal ideation

Psychiatrist Toshihiko Matsumoto, director at the National Center of Neurology and Psychiatry, provides insight into the psychological struggles of adolescents experiencing suicidal ideation and self-harm.

Matsumoto explains that self-harm is often a critical sign of distress rather than an attempt to seek attention. Adolescents may experience feelings of isolation, worthlessness, or intense anger, sometimes viewing death as a way to 'reset' life due to an immature perspective on mortality. For many, self-harm serves as a temporary coping mechanism to manage unbearable emotional pain when they feel they have no one to rely on.

Regarding parental response, Matsumoto warns that traditional encouragement, such as telling a child to 'be positive' or 'try harder,' can be counterproductive. Instead, he emphasizes the importance of creating a safe environment where children feel heard. He suggests that when a child discloses suicidal thoughts, parents should respond with acceptance, such as saying, ‘Thank you for telling me,’ to help rebuild a relationship based on trust and communication.