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,…

Physical and mechanical restraints and seclusion are currently used as emergency procedures in public schools across the United States. Students who exhibit dangerous, aggressive, or self-injurious behaviors are more likely to be restrained or secluded in school. Since many students with autism spectrum disorder exhibit one or more of these…

Check-in, check-out (CICO), an intervention implemented with students at risk for behavioral disorders, addresses minor misbehaviors by providing students with a structured means of receiving positive adult attention. CICO reduces problem behaviors and improves appropriate behaviors of students with and without behavioral disorders. Research…

Non-suicidal self-injury--the deliberate destruction of body tissue without suicidal intent--has become relatively common among U.S. adolescents: 18 percent of school-based youth report self-injuring at least once. The authors give suggestions and vetted resources for how schools can safely address the issue of self-injury, in ways that let…

Data from anonymous surveys reveal that about 15-20 percent of teenagers have engaged in self-injurious behavior, such as cutting. For many, these behaviors stem from their frantic efforts to relieve the painful and intense emotions state that often come with being a teenager. Although self-injury is not necessarily a suicide attempt, it puts a…

When students reach adolescence, they have often been known to devise destructive outlets for their self-expression (e.g., suggestive dress, tattoos, piercing, and sexual risk-taking). Recently growing in popularity, to almost epidemic proportions in the general adolescent population, is the act of self-injury. Self-injury refers to the…

Physical interventions for special education students in crisis remains a controversial concept. The first minute of a crisis situation represents the most crucial time to prevent injury or the exacerbation of injury. Although preventing violence and escalation of negative emotions is the first step in crisis management, school staff also must be…

While awareness of non-suicidal self-injury (NSSI) appears to be increasing among school counselors, social workers, nurses, and others who work with youth, it remains one of the most difficult behaviors to encounter, with few professionals feeling well equipped to handle these situations. This introductory article aims to define NSSI, describe…

Severe behavior disorders are among the most perplexing conditions encountered by clinicians, and as a front page article in the past Christmas Day's "New York Times" illustrates ("Parents defend school's use of shock therapy"), treatment options remain a topic of contentious debate. Not all that long ago physical restraint was the only option,…

This document provides policy recommendations of the Council for Children with Behavioral Disorders regarding the use of seclusion procedures in schools. It includes (a) an introduction, (b) a declaration of principles, and (c) recommendations regarding the use of seclusion in school settings. Explanation or elaboration of policy recommendations…

When good people do violently bad things, one seeks answers, drawing from one's repertoire of theories and concepts that have served him/her well. Underlying one's attempts to understand violent behavior is the belief that one can impose sense on seemingly insensible actions. Sometimes, in the face of inexplicable events, one is left to try to…

A spate of deaths among young people around the country in the past year has brought further media attention to an asphyxial activity known as "the choking game." But the subject is a sensitive one for schools. Some administrators have actively enlisted in efforts to inform students and parents about the risks of practices like the…

Masochism, the irrational self-infliction of pain, is more easily defined than understood. Once, a teacher used the word "cutting" only reference to a student skipping class. But, in recent years, it has taken on additional meaning. Cutting, or self-injury, is a deliberate self-harming behavior but without conscious suicidal ideation. To define…

The adolescent at risk for suicidal preoccupation and behavior has become an increasing concern for schools and communities. This paper presents some of the causes of teen suicide, things adults should know about adolescent suicide prevention, and what can be done to help such youth. The transition to adolescence is a complex time when many values…

From the bleached blond hair with black tips to the intentionally torn clothes to the tattoo on her arm, Annie looked and acted like a rebel from the first day she set foot in the author's literature classroom. In this article, the author describes how the journal for literature class had been instrumental in finding out about Annie's life and how…