With the rise of self-injury in the adolescent population, counselors, psychologists, nurses, and administrators in schools and on college campuses have been challenged to make sense of this often misunderstood and disturbing behavior and to respond appropriately. Having the school and college frontline professional in mind, this book presents a compassionate and comprehensive overview of the latest theory, research, and practice regarding self-injury. It offers practical guidelines on how best to engage and assess self-injuring individuals, and provides concrete strategies for creating effective pathways to further care. Dr. D'Onofrio discusses the socio-cultural, developmental, and psychological factors that may set the stage for the emergence of self-injury, explores the relationship of acute and complex trauma to self-injury, and provides a detailed protocol for assessing self-injuring individuals in educational settings. He also makes recommendations for effectively engaging the families, peers, teachers, and others who may have influence in the care of the self-injuring student, and proposes guidelines for developing institutional response policies and protocols.