This article presents a structured blueprint for school psychologists to assess and intervene in cases of automatically maintained self-injurious behavior (SIB) while adhering to the Least Restrictive Environment (LRE) mandate. We outline a six-step process for conducting Functional Behavior Assessments (FBAs) of automatically maintained SIB,…

The relationship between self-injury (SI) and suicide is largely unclear. However, researchers have suggested that clients who self-injure are at a heightened risk of suicide (Chapman & Dixon-Gordon, 2007; Toprak, Cetin, Guven, Can, & Demircan, 2011]). Thus, it is important that college counselors be knowledgeable about both SI and…

This article presents guided imagery as an intervention that can be used to address clients' nonsuicidal self-injurious behaviors. Guided imagery is a behavioral therapy technique that involves the use of positive thoughts or images to regulate negative emotional experiences, and it can be used to prevent and manage impulses to self-injure.…

In this article, self-injurious behaviors are examined through the conceptual framework of relational cultural theory (RCT). As an emerging theoretical approach that takes into account the importance of relationships and relational goals, it is suggested that RCT be used in conjunction with mainstream approaches to treat self-injury.

The following paper is a summary of the literature on self-injury focusing on knowledge useful to school counselors. The paper includes basic knowledge needed to assist the school counselor in making informed decisions and suggestions for helping the student through creating a supportive environment.

Professional school counselors are likely to work with students who are experiencing mental health issues including self-injury, eating disorders, depression and suicidality, as well as those associated with dating violence and bullying. This paper discusses two key areas school counselors are encouraged to reflect upon in determining if there is…

This article explores strategies for school counselors to use in intervening and managing adolescent students who engage in self-injurious behaviors. The school counselor's roles in intervention, referral, education, advocacy, and prevention are discussed, Implications and recommendations for school counselors are addressed.

Individuals with eating disorders, especially those with anorexia nervosa, have the potential to experience significant harm and even death as a result of behaviors related to their condition. Because of this risk, the authors argue that there is a duty to protect (i.e., an obligation to take some action when a person is engaging or considering…

This article reviews current literature on self-mutilation, comprises a definition, examines gender differences, and describes the profile of the self-mutilator in order that school counselors and other personnel may make accurate risk assessments. Precipitating events are described to aid school counselors in anticipating a harmful event.…

Offering a fresh perspective on treatment, this book presents an overarching framework and many specific strategies for working with violent youth and their families. The authors shed light on the complex interplay of individual, family, community, and societal forces that lead some adolescents to hurt others or themselves. Effective ways to…