Self-harm is common in young people, and can have profound effects on parents and other family members. We conducted narrative interviews with 41 parents and other family members of 38 young people, aged up to 25, who had self-harmed. Most of the participants were parents, but included one sibling and one spouse. This article reports experiences of the parent participants. A cross-case thematic analysis showed that most participants were bewildered by self-harm. The disruption to their world-view brought about by self-harm prompted many to undergo a process of 'sense-making' -by ruminative introspection, looking for information and building a new way of seeing -in order to understand and come to terms with self-harm. Most participants appeared to have been successful in making sense of self-harm, though not without considerable effort and emotional struggle. Our findings provide grounds for a deeper socio-cultural understanding of the impact of self-harm on parents.Keywords: Self-harm; adolescence; young adults; parents; families 3 Self-harm is defined as intentional self-injury or self-poisoning regardless of motive (Hawton, Saunders & O'Connor, 2012; Oldershaw, Richards, Simic & Scmidt, 2008). It is common in young people, with some studies reporting up to 38% of young adults engaging in self-harm (Andover, Primack, Gibb & Pepper, 2010). Between 10-17% of adolescents are said to selfharm (Hawton, Rodham, Evans & Weatherall, 2002;Klonsky, 2009). While some research suggests that rates of self-harm are comparable in men and women (Andover et al. 2010), international studies with large community samples show that self-harm occurs three to four times more often in female adolescents than in males (Hawton et al., 2002; Madge et al., 2008;O'Connor, Rasmussen, Miles & Hawton, 2009., Mars et al., 2014McMahon et al. 2014). While suicidal intent may or may not be involved, the most frequent motives for selfharm are intrapersonal -e.g. affect regulation, self-punishment (Klonsky, 2009) or interpersonal -e.g. appeal to others (Scoliers et al., 2009; Hjelmeland et al., 2002). Self-harm is frequently repeated (Hawton et al., 2002;Hawton, Bergen, Kapur, Cooper, Steeg et al., 2012) and often done in secret (Madge et al., 2008). While self-harm in young people often ceases by late adolescence or early adulthood (Moran et al., 2012) it can be a precursor of specific mental health problems (Mars et al., 2014). It also carries a significant risk of suicide .Previous qualitative research has explored the needs, perspectives and responses of parents to their children's self-harm (Byrne, Morgan, Fitzpatrick et al., 2008., Oldershaw et al., 2008Raphael, Clarke & Kumar, 2006). These studies found that parents were deeply distressed by self-harm and that they struggled to understand and cope with it. They often felt helpless and worried about future incidents of self-harm. Their anxieties were increased by feeling that they lacked the parenting skills to respond appropriately, in some cases, and that they did not always rece...