Is self-harming with a needle a sign of severe depression?

Generally, self-piercing with needles may be a warning sign of worsening depression, but it could also be associated with other mental health issues. If any abnormalities are observed, prompt medical consultation is recommended. Detailed analysis is as follows:

Some individuals with depression, due to prolonged emotional suppression and lack of support, may engage in self-harming behaviors—such as poking themselves with needles—to release inner distress. These actions are often accompanied by feelings of hopelessness, extremely low self-worth, or even suicidal thoughts, necessitating immediate assessment of the severity of their condition.

Self-harm is not exclusive to depression. Individuals with anxiety disorders, post-traumatic stress disorder (PTSD), or borderline personality disorder may also exhibit similar behaviors. Additionally, adolescents, whose emotional regulation abilities are still developing, might harm themselves impulsively or through imitation, which may not necessarily be directly linked to depression.

If self-harming behavior is detected, avoid blame or forceful intervention. Prioritize ensuring environmental safety by removing sharp objects. Promptly contact a psychiatrist or a psychological crisis intervention service to conduct a professional evaluation, identify the underlying psychological causes, and develop an appropriate, targeted intervention plan.