A Guide to Help Deliberate Self-harm
處理自我傷害行為實務指引

法蘭可醫生(Viktor E. Frankl) 是著名的精神科醫生,在第二次世界大戰時曾被送入集中營,受盡逼害,獲釋時家人無一生還,他便寫了以下的感受:

「像重生般而活,

做過往錯過了的。」

這本小冊子會介紹自我傷害行為(或稱自毀行為)的影響及治療方法,為有自毀行為的你、你的家人、朋友或同事而編寫,亦有專為前線社工或醫護人員而設的章節。希望大家認識和了解何謂自毀,減少這些行為做成的影響,本冊子亦鼓勵當事人尋求協助,並提供克服自毀行為的方法。

本冊子前半部是為有自毀行為的人士而設,後半部則適合你有朋友或家人 需要幫助時閱讀。在附加的視頻內,有專業人士講解簡單的急救步驟、若有人問及你的自毀行為時該如何反應、怎樣聆聽自毀者及解決問題的方法。如果你曾經或有意傷害自己,我們建議你閱畢整本小冊子;若你知道身邊有人遇上問題,你只需看最後數節,不過我們鼓勵你閱畢全書,因為明白自毀者的想法,有助你幫助他們。

自毀行為是一種在社區甚普遍但卻被忽視的公共健康問題,隱藏在我們的社會中。據估計,2003年香港用於自毀者的住院和醫療開支約有4千8百萬港元。由於不是所有自毀者都曾接受治療,確實的社會損失和影響、對親人、朋友和同事的精神影響,更是難以估量。我們故此希望透過簡單易明的介紹,讓公眾關注及了解這個問題。不過,小冊子絕不能取代專業輔導,反之我們最重要的訊息是使大家明白尋求協助絕不是「懦夫行為」,許多人其實都樂意向你伸出援手。

下載本小冊子

Dr. Viktor E. Frankl is a famous psychiatrist who was sent to the concentration camp during the Second World War where he suffered terrible persecutions. None of his family members were alive when he was released from the camp, he therefore wrote his feelings:

“Live as if you were living a second time, and as though you had acted wrongly the first time.”

This guide introduces the effects and treatments of deliberate self-harm (DSH) ?behaviours. It is especially compiled for you, your families, friends and colleagues who attempt self-harm behaviours; special chapters are also included for frontline social workers and frontline medical personnel. The guide aims to give a better picture of what DSH is, and to help decrease the effects caused by DSH. It also encourages individuals who hurt themselves to seek help and provides measures of overcoming deliberate self-harm behaviours.

The first half of the guide is tailored for persons who are intended to commit self-harm behaviours whereas the second half is designed for your friends and families when they need help. The supplemented videos include contents of simple emergency steps explained by professionals, how you should react when someone asks about your self-harm behaviours, how you should listen to persons harming themselves and ways to get their problems solved. If you have ever tried or intended to hurt yourself, we suggest you read the whole guide; if you know someone who comes across problems, you should read the last chapters. We encourage you to read the whole guide because understanding the thoughts of people who attempt self-harm gives you ideas to help them.

Deliberate self-harm behaviour is a common problem hidden in our society, but it is neglected by the general public. It is estimated that in 2003, about 48 million Hong Kong dollars were spent on hospitalisation and healthcare expenditure for persons who attempted self-harm. Since not all people committing self-harm behaviour have ever received medical treatments, the actual loss and effects on the society as well as the mental impacts on relatives, friends and colleagues are even unpredictable. Therefore, we hope to arouse public concerns on the matter through plain and simple introduction. However, the guide can never substitute professional counselling. Our main mission is to let everyone know that seeking for help is not an action of being coward, and that many people are pleased and willing to give a helping hand.

Download Brochure (Chinese version)


處理自我傷害行為 VCD


(一)急救 – 如何面對自毀行為的嚴重後果


(二)怎樣回應陌生者對自己自毀行為的發問?


(三)當遇到有自毀傾向的人應如何處理?


(四)如何減低自毀的衝動


2 Responses to “A Guide to Help Deliberate Self-harm
處理自我傷害行為實務指引”
  1. moira conroy-stocker
    04.24.2012

    dear sir/madam

    I have just tried to download the english version of this leaflet but could not. for some reason it appeared in chinese. can you please send me a copy of the english version of this brochure.

    kind regards

    Moira conroy-stocker
    (educational Psychologist).

    • Thank you for your comment Ms Conroy-stocker.

      We do not offer English brouchure for this topic at the moment. However, we do have a report on deliberate self-harm in Hong Kong in English. You may visit http://csrp.hku.hk/WEB/eng/pageHandler.asp?id=79 for more information.

      If you do have any concerns on this topic, please feel free to contact us via email ([email protected]) or by phone (28315232).

      Sophia Chak

      on behalf of
      HKJC Centre for Suicide Research and Prevention, HKU


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