Non-suicidal Self-injurious Behavior

Non-suicidal self-injury (NSSI) is the deliberate and direct destruction of one’s body, without suicidal intent, for cultural, or social reasons. The most common methods of NSSI include cutting, burning, scratching, and bruising. This definition does not pertain to tattooing, piercing, or indirect harm such as substance abuse or eating disorders. 

NSSI should also be distinguished from self-injurious behavior (SIB) that may commonly be seen among individuals with intellectual and developmental disabilities.

Following the initial response to identification or the disclosure of NSSI, the student should meet with the licensed school personnel (e.g., licensed school counselor, licensed school psychologist, school nurse, or licensed social worker).

General actions when a student experiences non-suicidal self-injurious behavior difficulties in their school or program:

1. Communicate with the student calmly,
2. Maintain confidentiality,
3. Understand that this is one way a student may cope with their emotions.
4. Use the student’s language for self-injury when talking about self-injury (e.g., if a student calls it “cutting” or “self-harm”, use that term in your discussion).
5. Listen to the student in order to better understand.
6. If there are specific instructions from the child’s provider for ongoing care and communication,  follow the IHP or emergency plan (if applicable)
7. Follow the school protocol that addresses identification, communication, referral, and ongoing support.
8. Follow any additional steps unique to the student’s health as instructed by the child’s healthcare provider or as delegated by the school nurse.
9. Communicate with parents
10. Document the date, time, the procedure, the child’s intake and student’s response, your initials and signature.