<p>This study explores the intersection of Black hair, mental health, and identity, focusing on the unique challenges faced by Black youths in the UK. It underscores the significance of ‘hidden wounds’—psychological and emotional scars stemming from racial discrimination, societal beauty standards, and Eurocentric ideals of hair texture. The research highlights how these hidden wounds, particularly related to hair, shape the mental well-being of Black youths, often leading to issues of self-esteem and identity struggles. The study emphasises the critical need for practitioners and academics to develop culturally competent care practices that consider these experiences, fostering a deeper understanding of how Black hair is intertwined with both individual and collective identity. The findings suggest that while family influences can provide emotional support, the broader societal influences—such as peer perceptions, institutional policies, and systemic discrimination—play a substantial role in shaping youths’ experiences. This implies that, for many Black youths, the wider social context can be a source of both distress and resilience. The study warrants further investigation to examine the effects of hair texture and colourism within the Black community, proposing that variations in how individuals perceive, and value their hair, could contribute to differing experiences of racialised identity. Overall, this research broadens the discussion of Black youths’ mental health, offering insights into how hidden wounds related to hair impact emotional well-being and calling for more targeted care strategies.</p>