Non-Suicidal Self-Injury Throughout the Lifespan

Kelly Emelianchik-Key, PhD, LMHC, NCC, ACS, is a licensed clinical mental health counselor and assistant professor in the counseling department at Florida Atlantic University. She has completed extensive research and training in teen dating violence, non-suicidal self-injury, and sexuality issues. Amanda C. La Guardia, PhD, LPCC-S, NCC, is a licensed professional clinical counselor supervisor and assistant professor for the counseling program at the University of Cincinnati. She has completed extensive research and training in the areas of non-suicidal self-injury and suicide, gender-related issues, and professional development.

"This book is a vital addition to the literature on non-suicidal self-injury (NSSI). Our profession has been riddled with misunderstanding about this behavior in clients we serve. This text offers clarity on the subject and also offers us multiple treatment plans and interventions. It outlines NSSI across life development stages, which offers a unique perspective in the discussion of self-injurious behaviors. The case studies provide information and assistance that will be vital in working with clients who have a relationship with NSSI. I applaud these authors and have deep appreciation for what they have added to the literature in our field." — Patricia E. Robertson, EdD, professor emerita, East Tennessee State University, USA"Emelianchik-Key and La Guardia have produced thorough and timely guide for practitioners and students who need effective guidance in treating the complicated issue of non-suicidal self-injury. With practical tools, detailed case studies, and thorough treatment strategies, this guide will become an important reference tool for any clinician." — Paul R. Peluso, PhD, LMHC, LMFT, professor and chair of the Department of Counselor Education, Florida Atlantic University, USA"NSSI is one of the most pervasive and destructive activities among adolescents and young adults, so you would think that there would be a ton of useful information on the people and processes, both individual and systemic, that are affected by this problem. Sadly, this was not the case—until now. This book brings all of us up to date on the problem and its treatment in a very readable text that is loaded with case studies. As a person who has experienced this with a family member, I can say without hesitation that I wish this book had been available ten years ago." — James Robert Bitter, EdD, NCC, past president of the North American Society of Adlerian Psychology, professor of counseling and human services, East Tennessee State University, USA"Emelianchik-Key and La Guardia expertly guide readers through the complexities of NSSI, weaving in available best practices, resources, and scholarship from across the helping professions. The authors provide an innovative, thoughtful, and case-based approach for assessing and treating diverse clients across the lifespan with NSSI. This text is a must-have clinical resource!" — Danica G. Hays, PhD, professor of counselor education and executive associate dean, University of Nevada, Las Vegas, USA

• PrefaceList of figures, tables, cases, and textboxesKey terminologyEthics statementAuthorsPart I: Introduction to Case Scenarios1. Non-suicidal self-injury in childhoodKelly Emelianchik-Key2. Non-suicidal self-injury in adolescents and young adultsAmanda La Guardia3. NSSI in adulthood and the aging populationAmanda La GuardiaPart II: Assessment and Screening for Non-Suicidal Self-Injury4. Risk and Protective FactorsKelly Emelianchik-Key5. Assessment and DiagnosisKelly Emelianchik-Key6. Gender and Diversity ConsiderationsKelly Emelianchik-KeyPart III: Assessment and Screening for Non-Suicidal Self-Injury7. Ethical considerations when working with non-suicidal self-injury Kelly Emelianchik-Key and Mariah Dern8. Self-Directed Violence – Non-suicidal self-injury and suicideAmanda La Guardia9. Prevention and Treatment Strategies in Educational SettingsEllen Chance10. Prevention and Treatment Strategies in Community SettingsAdriana Labarta and Bridget Glass11. Future Directions and Research in Non-Suicidal Self-injuryKelly Emelianchik-Key and Amanda La GuardiaPart IV Worksheets and resourcesAppendix A: Resource listAppendix B: Elementary safety plan Appendix C: Narrative storyboard Appendix D: Cognitive mapping Appendix E: Adapted DBT youth meditation Appendix F: Bronfenbrenner worksheet Appendix G: Chain analysis of NSSI behavior Appendix H: Checklist for working with youth Appendix I: Building support circles Appendix J: Taking your emotional temperature Appendix K: Voice of reason Appendix L: My impulse control log Appendix M: My life of purpose and meaning Appendix N: Wheel of influence Appendix O: Self-care wheel Appendix P: My house Index