IF you think a friend or relative is self-harming, look out for any of the following signs:

- unexplained cuts, bruises or cigarette burns, usually on their wrists, arms, thighs and chest; keeping themselves fully covered at all times, even in hot weather.

- Low mood, tearfulness or a lack of motivation or interest in anything; self-loathing and expressing a wish to punish themselves.

- Not wanting to go on and wishing to end it all.

- Becoming very withdrawn and not speaking to others.

- Changes in eating habits or being secretive about eating, and any unusual weight loss or weight gain.

- Signs of low-self esteem, such as blaming themselves for any problems or thinking they're not good enough for something.

- Signs they have been pulling out their hair.

- Signs of alcohol or drugs misuse.

People who self-harm can seriously hurt themselves, so it's important that they speak to a GP about the underlying issue and request treatment or therapy that could help them.