Despite the fact that self-injurious behaviors are gaining increased attention in the schools, little is actually known about prevalence, treatment considerations, and school counselor training issues. This article will present the results from a national survey of American School Counselor Association (ASCA) members regarding their perceptions of self-injurious behaviors. Particular attention will be paid to training issues and best practices when working with students who self-injure. (Contains 2 tables.)