The topic of self-injurious behavior (SIB) has been gaining widespread attention. Although college counselors engage in various types of treatments in order to uncover the underlying reasons for a client's SIB, there is another step in treatment that might be helpful to clients who self-injure. This step involves alternatives to self-injury. The authors provide various alternatives to self-injury and discuss matching the alternative to the function and type of SIB. (Contains 1 table.)