As-Salamu ‘Alaikum sister,
I am so sorry to hear about your friend. How tragic that she was abused as a child and has a family that is negligent and abusive as well. Children who were abused/sexually harassed can suffer from an array of mental health issues as you are seeing with your friend. Children who were abused/harassed sexually and/or grew up in abusive homes can suffer from PTSD, depression, anxiety, and other mental health issues.
The cutting your friend has been doing is a way to gain control over her emotional pain as well as secure control or power over something in her life. This phenomenon of cutting has becoming more and more prevalent in today’s society. WebMD states that “Very often, kids who self-harm have an eating disorder. “They may have a history of sexual, physical, or verbal abuse”. Lader adds, “Many are sensitive, perfectionists, overachievers. The self-injury begins as a defense against what’s going on in their family, in their lives. They have failed in one area of their lives, so this is a way to get control.”
Cutting in and of itself does not mean she wants to commit suicide; however, her depression is of grave concern based on your statements. Suicidal ideation could be a critical factor when combined with hopelessness and isolation.
Sister, I am not sure how old she is and I am not familiar with the laws in her country. However, I would highly suggest that when you talk to her ask her if she loves you. She will most likely say yes. Then ask her to write a contract stating she will not harm herself and she will not attempt suicide. Have her sign it and give you a copy.
There is some power, if only a reminder, in writing a contact. Number one, she will remember she loves you and she gave her word. Number two it may help instill a sense of responsibility. However, there is no guarantee. Please review Suicide.Org for further information on how these contracts work.
I also kindly suggest that you encourage her to go for counseling even though her parents do not support it. Tell her that if you both are friends and love each other as sisters, she should at least try therapy for you if not for herself. Please do have names and numbers ready to give her of therapists or clinics in her area that she can call or go to for an appointment. At this point, as her parents are not supportive and she is at a critical point their consent is not a concern here.
You may also wish to try to get some names and numbers of relatives, or family, or friends who may be sympathetic, as her parents are not, and call them to alert them of the situation. If that is not possible, please contact the mosque she goes to, explain the situation, and ask for an intervention or a follow-up. Ask if there are any sister there who are counselors, nurses, social workers or other related fields. Reach out to these sisters and ask them for further help in local resources and see if one of them can engage her or do a home visit to take her out for lunch or tea.
Sister, please keep the lines of communication open with her so she knows that someone loves her and is always “there” checking up on her. Try to find something that means a lot to her. While it may take a few attempts to find out, there has to be something in her life that she cherishes. It may be a younger sibling, a favorite auntie, a forgotten dream such as wanting to travel to a certain country or a career choice. Find it and work it.
If you can find that thread that keeps one hanging on to life until help has arrived, then you have more to work with. For instance, if she has a younger sibling whom she adores, you may want to remind her that she needs to get better because “so and so” would be so devastated if she didn’t. If it is a dream of attending a certain school or traveling to a specific country, send her literature on that and discuss how exciting it will be and ask if you can help her plan her steps for achieving her goal.
If she cannot identify anything, please utilize your friendship in any way possible. Ask her if she would like to do (fill in what you both like) on your vacation or spring break. This will give hope and something to look forward to.
Lastly, please keep praying to Allah (swt) concerning her. Pray and do dhzkir with her on the phone if you can. Even though you are sending her Islamic literature and reminders, she may be too depressed to respond without a one-on-one prompt and participation, so please sister do offer to pray with her.
May Allah (swt) grant mercy and bless you both. She is in our prayers. Please let us know how she is.
Disclaimer: The conceptualization and recommendations stated in this response are very general and purely based on the limited information that was provided in the question. In no event shall AboutIslam, it’s volunteers, writers, scholars, counselors, or employees be held liable for any direct, indirect, exemplary, punitive, consequential or other damages whatsoever that may arise through your decision or action in the use of the services which our website provides.