This can cause very strong feelings of shame or guilt, even though it wasn't your fault. People who go through trauma sometimes feel as if they are to blame. You can also access confidential advice about drugs and alcohol on the FRANK website. To find out more, see our information on the mental health effects of recreational drugs and alcohol.

Alcohol and substance misuse – a way you might try to cope with difficult emotions or memories.

You can also contact Samaritans 24/7 on 116 123 or.

Suicidal feelings – including being preoccupied by thoughts of ending your life, thinking about methods of suicide or making plans to take your own life. To find out more, see our information on coping with suicidal feelings.

To find out more, see our information on self-harm. This could include harming parts of your body that were attacked or injured during the trauma.

Self-harm – hurting yourself as a way of trying to cope.

To find out more, see our information on bereavement. You might feel that trauma has caused you to miss out on some things in life, which can also lead to feelings of loss. Many people experience grief as a result of how trauma has changed their lives.

Grief – experiencing a loss can be traumatic, including someone dying but also other types of loss.

Have that effect on you