The relationship between self-injury (SI) and suicide is largely unclear. However, researchers have suggested that clients who self-injure are at a heightened risk of suicide (Chapman & Dixon-Gordon, 2007; Toprak, Cetin, Guven, Can, & Demircan, 2011]). Thus, it is important that college counselors be knowledgeable about both SI and…

This case study describes the counseling experience of a college woman undergoing treatment to address self-injurious behavior. The article presents and illustrates a counseling approach that is conceptually based on attachment and object relations theory. The approach emphasizes the client-counselor relationship and the need to establish a…