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…

Borderline personality disorder (BPD) is a prevalent psychiatric illness that often first presents at college. If left untreated, BPD can lead to severe disability or fatality. While multiple evidence-based treatments for BPD exist, most are resource intensive and, therefore, difficult to implement at the typical college mental health center.…

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…

The lack of a standardized nomenclature for suicide-related thoughts and behaviors prompted the Centers for Disease Control and Prevention, with the Veterans Integrated Service Network 19 Mental Illness Research Education and Clinical Center, to create the Self-Directed Violence Classification System (SDVCS). SDVCS has been adopted by the…

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…

This paper takes Betty Joseph's concept of "addiction to near death," which describes a clinical situation in which sadism and masochism dominate the relationships of a particular group of patients, and applies it specifically to the case material of a girl in adolescent psychotherapy treatment. A link is made between the patient's retreat from…

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…

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…

Youth suicide is one of the most serious preventable health problems in the United States. It is the third leading cause of death among adolescents. According to a recent national survey of students in grades 9-12, nearly 15% of respondents had seriously considered suicide and 7% actually had attempted suicide in the previous 12 months. Moreover,…

Self-injury is intentionally injuring one's body without suicidal intent. However, self-injury is often confused with a suicide attempt. Drawing on her experience as a clinical coordinator at an in-patient program for youth who self-injure, the author provides a background on self-injury, then explores how self-injury differs from suicide and why…

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…

Claims that self-defeating behavior is a rational attempt to satisfy early, introjected messages about the type of person one is, arising from a desire for things perceived as good--sub specie boni. Examines the notion of the comfort zone, toxic shame, and therapists' responsibility to nourish acceptable joy. (RJM)

Violence. It's the act of purposefully hurting someone. And it's a major issue facing today's young adults. This fact sheet answers questions that those aged 12-24 might ask about violence. This age group faces the highest risk of being the victim of violence. Questions regard the causes of youth violence, warning signs, what to do if someone…

Many risks for suicidal behavior, identified in population samples, are elevated in justice youth. We examined whether risks operate similarly in a justice sample. We measured suicidal behavior and disorder on the Diagnostic Interview Schedule for Children in 991 randomly selected youths, and examined associations between demographic, offense, and…

In this article, the author discusses self-injury, which is a strategy to manage painful emotions. Generally, it is not about attempting suicide. In addition, it operates in complex ways. One one level, it is a method of communicating feelings when the self-injurer lacks other skills with which to express them. On another level, it helps people…