Asking for help for someone who is engaging in self-harm is not easy, as they often experience feelings of shame, expectation of being judged negatively, guilt for worrying or stressing those around them, and so on. But it is necessary to ask for help in order to begin receiving support , to start developing a plan to stop, and to learn healthy coping strategies . These strategies will also help them develop skills to deal with any kind of distress, not just that associated with self-harm.