This paper addresses the growing crisis of anxiety in today's children and young adults. It further elucidates specifics associated with gifted children and youth. It describes the issues surrounding anxiety, the risk factors, the complications, and known treatment modalities, while offering further treatment and coping suggestions that may be…

The intentional injury of one's own body, otherwise known as self-injury, is a relatively common phenomenon among adolescents today. Although many students self-injure, physical educators should not consider self-injury a normal developmental experience that does not warrant attention. Rather, physical educators are encouraged to recognize…

American adolescents are experiencing an epidemic of anxiety and depression. In this article, Eric Piotrowski explores how regular writing practice and conscious conversations help students struggling with loss, grief, trauma, and myriad associated difficulties including anxiety and self-harm. Students in his classroom use fictionalized…

Nonsuicidal self-injury (NSSI) has evolved into a serious issue for adolescents, and is encountered in school systems across the United States. The ability of school counselors and other professionals working in the school environment to understand and assist students who exhibit signs of NSSI is critically important. Research remains minimal on…

In the past few years, there has been an explosion of online content and communication regarding nonsuicidal self-injury (NSSI). Research indicates the Internet may be particularly salient among those adolescents who engage in NSSI. Indeed, many youth who self-injure connect with others who self-injure via the Internet in order to obtain needed…

The death of a child is one of the most tragic events imaginable. Even more gut-wrenching is when a child intentionally chooses to end his or her own life in order to escape from unbearable suffering. Unfortunately, the occurrence of self-harm behaviors increases dramatically and occurs at elevated rates during adolescence (Nock et al., 2008), and…

It has been unclear whether adolescent deliberate self-harm (DSH) is more associated with substance use or with characterological impairments. Multivariate determination of (N = 114 Scottish adolescents) ever engaging in DSH (Youth Risk Behavior Survey) from alcohol use, other substance use, and immature defense mechanism use (Defense Style…

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.

Children with autism and autism spectrum disorders have a high rate of irritability and aggressive symptoms. In one study up to 20% of children with autism have symptoms of irritability and aggression including aggression, severe tantrums, and deliberate self injurious behavior (Lecavalier [2006] "J. Autism Dev. Disord." 36:1101-1114.). These…

Self-injurious behaviors (SIBs) are increasing in the general adolescent population, giving rise to concerns about the impact these behaviors have on gifted and talented youth. Educators of the gifted may not have adequate understanding of these behaviors, limiting their effectiveness in supporting gifted students engaging in SIB. This article…

In this article we summarize what is known about nonsuicidal self-injury (NSSI) in youth. First, we describe basic demographic trends, prevalence, and function. Then we turn our attention to the implications of NSSI for schools, school-related policies, and school guidelines. Having provided an overview of the field, we conclude that even in the…

This article presents a family competency-based treatment approach that capitalizes on the strengths and resources of self-injuring adolescents and their families. Throughout the article, the author provides therapeutic tools and strategies that he has found effective in his clinical practice of working with self-injuring youth and their families…

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…

Whereas non-suicidal self injury (NSSI) is reported in 13-23% of adolescents and is an increasingly studied topic, there has been little investigation into the pathophysiology behind self-injury. This commentary examines recent research into pain and emotional distress to discuss implications for the manner we should understand, research, and…

Non-suicidal self-injury (NSSI) is a common and increasingly prevalent maladaptive coping method, often used by adolescents. The role of the media in the transmission of NSSI acceptance and adoption in mainstream culture is explored in this article. The increasing reach of the media, the particular susceptibility of adolescent and young adults to…