Self-harm in children is not just about clearly visible, razor blade cuts on the forearms - in a broader sense, self-harm can involve strangling oneself or even a child, entirely deliberately, breaking their own bones. This sounds downright frightening; unfortunately, these are not examples of scenes from horror films, but incidents that occur - and are unfortunately becoming more frequent - in the reality around us. What are the reasons children and young people self-harm and what can be done to help them?