A month ago, I wrote a post titled Four Reasons Teens Cut to COPE, sharing my own history of self-injury as well as the four most common reasons kids and adults hurt themselves. We do/did it for control, as an obsessive behavior, as punishment, or as an emotional release. For me, it was all four; for others, it might just be one or two. To read more about the why of self-injury, see that post here.
One comment jumped out at me and warranted a post of its own in response. Todd Benkert, a Southern Baptist pastor and adoptive dad who I respect a great deal, asked:
Shannon, given that self-harm is meant to help one COPE, how does the gospel apply to this need? How do you find that Christ would address each of these reasons?
As I answer, let me go ahead and define what I’m meaning in this post as the gospel: the good news that the God who created us in his image saw our helpless sinful state and sent his Son to live the perfect life we couldn’t, die as the ultimate sacrifice we could never offer, and defeat death once and for all by rising from the dead, offering an already but not yet promise: that those who believe may already have indwelling of the Spirit here on earth but that we persist in the reality that we’re not yet living in the perfection of heaven.
Phew. That’s some meaty theology in one sentence, huh?
Key Ministry exists because of that already but not yet friction. We already have the hope of Christ – hallelujah! – but our lives are marked with the not yet realities of life, including mental illness, disability, and childhood trauma. The church exists to be a community for those who know God and to shine the light of Christ into a dark world for all, including those who haven’t yet encountered our Jesus.
Cutting is a sign of already but not yet tensions. Some who injure themselves – be it by cutting or burning skin or punching surfaces or trying to break bones or some other means – don’t know Christ. Some, however, do. How do we respond in a gospel-driven way to both groups?

First, we must be humble. Just as we, in the church, wouldn’t try to treat asthma with repentance or set a broken bone with a Bible verse, we need to understand that professional help is almost always needed for those who persistently hurt themselves. For me, this includes both psychotherapy and psychiatric medications. When someone is engaging in self-harm, the behavior isn’t shameful or unspeakable. Self-injury occurs when the pain someone is feeling internally exceeds the resources available for healing. One such resource for healing is the professional help beyond what most churches are able to offer. This need for support outside of the church is one reason why those who attend worship services regularly may still go home and bring a blade across their skin.
Historically, the church has been slow to accept medical research about the physical and neurological foundations for mental illness, trying instead to treat challenges like these are purely spiritual. I’m seeing a change in this trend, thankfully. We still have work to do, though! We at Key Ministry are able to speak into that in a unique way, as Dr. Steve Grcevich – a clinical child psychiatrist – founded our organization and has served in a variety of roles ever since. In other words, as we train churches to respond to these needs, our approach will always involve a medical understanding of the problem.
But we’re Christians and ministry leaders too. So we also understand we aren’t just bodies with physical needs but souls with spiritual ones. One supernatural need we all possess is community. So, second, we must build relationships. Some refer to this as a ministry of presence or an incarnational ministry. After all, God didn’t just wave a magic wand or look down from the clouds to meet our needs; he came incarnate, wrapped in flesh, engaging our humanity from his own. Before the disciples in John 3 asked, “Who sinned that this man might be blind, him or his parents?” the first verse in that chapter tells us Christ saw the man. Before we jump to judging a person’s current state or trying to So how can we, in the name of Christ, come alongside those who hurt themselves? respond to them, we must first see the person. This response includes affirming each individual as a fellow image bearer of God, just like we are. Christ’s response – “neither this man nor his parents sinned, but this occurred that the works of God might be displayed in him” – does that. Each of us exists that the works and glory of God might be displayed and reflected in us. When it comes to self-injury, I’ve seen many well-intentioned adults respond out of their discomfort and try to fix the problem before loving the person. This will never work!
So how can we, in the name of Christ, come alongside those who hurt themselves? We can be with them, just as Christ brought healing as he walked side by side with the people he created. We can try to understand the reasons why. We can choose not to recoil from the behavior, even if it makes us uncomfortable, and instead dwell in discomfort with our hurting friend. We can help them access the resources needed – including professional support – to help them process pain in healthier ways.
Finally, we can share the already hope we have in Christ without denying the not yet struggles in the world. In other words, our gospel can’t just be one that stands before Daniel 3 furnaces and says, “God will save me and you from the fire.” No, it must also be able to say, “We believe in a God who can deliver us from the flames (and will certainly do so in heaven) but even if he does not on earth, we can still trust him.” We can’t proclaim a prosperity gospel (that is, a false gospel) which promises full healing and riches and comfort on this side of heaven. We shouldn’t offer Christ as the antidote to pain as if the Bible promises that becoming a Christian (or continuing in faith, for those who already know Christ) means we’ll never feel pain again. Our testimonies of how God has worked in our lives can and should not only include the highlights – how Jesus made and makes things new – but also the hard truths – how life still isn’t perfect in all the ways we might like it to be because we live in a fallen world. This isn’t denying the works of God in us but rather showing the hope of a heaven in which God, according to Revelation 21:4, will wipe every tear from our eyes as death and mourning and crying and pain are no more.
When those who are hurting cut into their skin or injure themselves in other ways, they’re saying that the world as we know it isn’t right or good or perfect. Our presentations of the gospel need to acknowledge that truth, or the hope we’re sharing will seem false. When Christ showed up to ultimately heal Lazarus, he didn’t start by calling him out of his grave. No, he met his sisters in their pain, he didn’t turn away from their agony, and he wept with them. We can do likewise. Then he raised Lazarus from the dead, but? Lazarus died again in due time. The miracle didn’t mean Jesus’s friend and Mary and Martha’s brother got to skip out on pain for the rest of his time on earth. And our salvation doesn’t mean that either.
Self-injury isn’t simple. The obsessive behavior component can make the habit into an addiction that is hard to break. If we act like we can simply solve the problem by walking someone through a salvation tract, then we’re treat the gospel like a magical incantation – hocus pocus or abracadabra – for self-harm. Not only does that dismiss the complexity of cutting, but it also presents a false prosperity gospel, promising a perfection on earth that the Bible never presents.
Let’s be humble. Let’s engage others in relationship. Let’s share the full gospel – both the already hope we can all have in Christ without sugarcoating the not yet tensions we experience in this world and the promise of an eternity without pain or tears or any reason to cut anymore. And let’s do it all for the good of our neighbors and the glory of God.
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Key Ministry encourages our readers to check out the resources we’ve developed to help pastors, church leaders, volunteers and families on mental health-related topics, including series on the impact of ADHD, anxiety and Asperger’s Disorder on spiritual development in kids, depression in children and teens, pediatric bipolar disorder, and ten strategies for promoting mental health inclusion at church.
In the quarter century I’ve been practicing as a child and adolescent psychiatrist, I’ve come to appreciate the extent to which early involvement in sexual activity represents a risk factor for anxiety, depression, suicidal thoughts and suicidal acts among the kids served by our practice. From a developmental standpoint, there are lots of teenagers who aren’t remotely equipped to manage the intensity of emotions that accompany a sexual relationship. Buried beneath the headlines of a government-funded study released this past week, there’s lots of evidence that teens who voluntarily engage in sexual activity or are victims of sexual violence are far more likely to experience suicidal thinking or behavior than their peers.
For the first time, the CDC investigators asked questions about sexual orientation, gender identity and the sex of sexual contacts of survey participants. The resulting survey is the first nationally representative study of U.S. lesbian, gay, and bisexual high school students. Not surprisingly, the media coverage thus far (see 





Finally, how is it still socially acceptable in this day and age for advertisers and social media platforms to promote sexual behavior in youth when a clear association exists between sexual behavior and suicide? Hats off to Abercrombie and Hollister for
Know a family impacted by disability in need of help finding a local church? Encourage them to
Some of our readers may have noticed that I’ve been away for the last few weeks. I’d made plans to use most of the time working on our upcoming book on mental health inclusion in the church, but became “sidetracked” by a consulting project in which I was asked to make recommendations for redesigning the systems for providing psychiatric care to kids in a nearby city.

Check out Shannon Dingle’s blog series on adoption, disability and the church. In the series, Shannon looked at the four different kinds of special needs in adoptive and foster families and shared five ways churches can love their adoptive and foster families. Shannon’s series is a must-read for any church considering adoption or foster care initiatives.
Let me start by saying this: I’m a bit of an expert on this topic but not in the way you think. My background and education is heavily in child development and education and communication, but I never studied self-harm in a classroom. I took a smorgasbord of psych classes, but those didn’t venture there.
Control: Um, have you been watching the news lately? This world feels out of control. Add to that the increasing demands on kids to perform, perform, perform in academics and athletics and church and everywhere else, and the pressure feels unsurmountable. Whenever everything seems out of control, many of us choose maladaptive behaviors to regain some semblance of control. For some, particularly when other hurts are out their hands, controlling one clear and easily understood kind of pain – like using a blade of some sort to make a red line on your skin – offers a sense of stability in an unstable world.
Editor’s Note: Catherine Boyle presents her monthly update on her church’s progress in launching a mental health inclusion ministry.
It’s also important to understand not just the spiritual but also the secular impacts and communities of your members. Denominational churches often have good data on the economic, educational and other factors comprising their church bodies. In most cities or metropolitan suburbs, there are data sources that can be accessed to understand economic and other factors that impact your faith community. I was fortunate to find a local foundation that surveys and monitors the health of communities in ten zip codes in which the majority of our members reside. From this foundation, robust data was readily available on specific mental health-related community needs. These already identified needs are helping Ironbridge Baptist Church begin to formulate a specific plan, for a specific set of needs of our faith community and our residential community.
This weekend, NewSpring Church in South Carolina announced in their services that Perry Noble has been removed from his position as pastor due to alcohol issues. More information, including full statements excerpted below, can be found at their website
I’ve read several pieces about this situation. Some had been charitable, and others haven’t. I can’t write about Noble and his situation because it’s not my story and I don’t care to speculate beyond the information the church has provided. I can, however, share what I know, as an alcoholic who has been sober for 12+ years.
“GOOD–MORNING–CAMPERS–!!!.” In iconic Robin Williams style, my husband bellows out this greeting each morning at the annual Bible camp sponsored by the church we attend. This has become a camp tradition and one of many reasons it is special to kids and staff. But if you ask me, one of best qualities of camp is that kids with special needs have been welcomed and loved here. My daughter, Katie, and her autism were one of the reasons this welcoming path was paved several years ago, and the tradition to support atypical children continues. What makes it work? Here are ten ideas for staff wanting to help children with autism succeed at a camp for typical kids. (Note these suggestions most commonly apply to children with autism who have moderate to good verbal skills, but may apply to a wider range of skill levels and other disabilities, as well).
Strongly encourage the other kids, especially those in his/her cabin or age-group, to be helpful and kind. With permission from the child and his/her parents, this might mean disclosing some information about the disability. One year I went to every girl’s cabin to explain autism so the girls would know how to understand and support Katie.
Here at Key Ministry, we write about childhood trauma from time to time. The impact can be seen in behaviors and struggles in Sunday school and other children’s ministry settings. I’ve noticed many readers assume we’re focused on adoption and foster care whenever I address the topic – perhaps because I’m an adoptive mom – but research indicates that kids in all sorts of families experience trauma. Sadly, living in a fallen world sometimes means a traumatic world.
Tucker isn’t alone in her experience, sadly. According to the
We celebrate today the birth of a country founded 240 years ago by men willing to subvert the “old order” of doing things. America evolved into a republic in which individual rights…in particular, freedom of speech, freedom of association and freedom of religion.
What might that look like for a church? Maybe it’s footing the bill for a consultation with a specialist that a family desperately needs but isn’t able to afford? Maybe it involves the special needs ministry director going with a family in need of services from their local school, mental health center or developmental disabilities board when the family feels like they’re hitting their head against the wall? Maybe it involves recruiting volunteers from your church’s respite or disability ministries to watch over a child with suicidal thoughts or plans when no hospital beds are available?
We can mirror the value God places upon human life. We’re fighting a multi-front war with proponents of radical self-determination. We need to start preparing now for how we might support families pressured to abort their children prior to or following birth. In the same way that the church supports crisis pregnancy centers, we need to be prepared to establish support centers for persons with chronic medical conditions living in places where “right to die” laws facilitating physician-assisted suicide will inevitably lead to a “
We can prepare to support one another when there’s a price to be paid for living out one’s faith. There will be
Know a family impacted by disability in need of help finding a local church? Encourage them to register for Key for Families. We can help connect families with local churches prepared to offer faith, friendship and support, while providing them with encouragement though our 


