TPC Journal-Vol 10- Issue 2-FULL ISSUE

The Professional Counselor | Volume 10, Issue 2 191 Conclusion Nonsuicidal self-injury is a prevalent concern among clients seeking clinical services. We sought to understand clinicians’ experiences working with NSSI by surveying a national sample of licensed practitioners ( N = 94). As demonstrated by our results, NSSI affects individuals across age ranges and gender identifications, although it is most prevalent among White female adolescents. Our findings indicate that the majority of clinicians (97.9%) worked with at least one client who engaged in NSSI in the past year. Furthermore, the majority of our sample (83.0%) supported the stance that NSSI can be an addictive behavior. Finally, our study indicates a need for more training related to NSSI in graduate programs and an emphasis on differentiating between NSSI and suicide attempts on intake forms and in clinical work. Conflict of Interest and Funding Disclosure The authors reported no conflict of interest or funding contributions for the development of this manuscript. References American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Society of Addiction Medicine (2019). Definition of addiction . https://www.asam.org/resources / definition-of-addiction Andover, M. S., Schatten, H. T., Morris, B. W., Holman, C. S., & Miller, I. W. (2017). An intervention for nonsuicidal self-injury in young adults: A pilot randomized controlled trial. Journal of Consulting and Clinical Psychology , 85 (6), 620–631. http://doi.org/10.1037/ccp0000206 Andover, M. S., Schatten, H. T., Morris, B. W., & Miller, I. W. (2015). Development of an intervention for nonsuicidal self-injury in young adults: An open pilot trial. Cognitive and Behavioral Practice , 22 (4), 491– 503. https://doi.org/10.1016/j.cbpra.2014.05.003 Barrocas, A. L., Hankin, B. L., Young, J. F., & Abela, J. R. Z. (2012). Rates of nonsuicidal self-injury in youth: Age, sex, and behavioral methods in a community sample. Pediatrics , 130 (1), 39–45. https://doi.org/10.1542/peds.2011-2094 Buser, T. J., & Buser, J. K. (2013). Conceptualizing nonsuicidal self-injury as a process addiction: Review of research and implications for counselor training and practice. Journal of Addiction & Offender Counseling , 34 (1), 16–29. https://doi.org/10.1002/j.2161-1874.2013.00011.x Choate, L. H. (2012). Counseling adolescents who engage in nonsuicidal self-injury: A dialectical behavior therapy approach. Journal of Mental Health Counseling , 34 (1) , 56–71. https://doi.org/10.17744/mehc.34.1.506780307v16m402 Connors, G. J., Tonigan, J. S., & Miller, W. R. (2001). A longitudinal model of intake symptomatology, AA participation and outcome: Retrospective study of the Project MATCH outpatient and aftercare samples. Journal of Studies on Alcohol , 62 (6), 817–825. https://doi.org/10.15288/jsa.2001.62.817 Davis, S., & Lewis, C. A. (2019). Addicted to self-harm? The case of online postings on self-harm message boards. International Journal of Mental Health and Addiction , 17 , 1020–1035. https://doi.org/10.1007/s11469-018-9975-8 Doyle, L., Sheridan, A., & Treacy, M. P. (2017). Motivations for adolescent self-harm and the implications for mental health nurses. Journal of Psychiatric and Mental Health Nursing , 24 (2-3) , 134–142. https://doi.org/10.1111/jpm.12360