pt. I. Cutting and self-harm : what are they and how do they occur? 1. Cutting and self-harm : definitions, history, and basic characteristics Self-harm Self-injury Nonsuicidal self-injury Trichotillomania Excoriation Direct versus indirect self-harm Body modification Stereotypic movement disorder Moderate versus major self-injury History of self-injury Religion and self-injury Self-injury as a rite of passage Conventional self-injury Basic characteristics Age and self-injury Gender and self-injury Socioeconomic status and self-injury Culture and self-injury Rates of self-injury 2. Factors contributing to self-injury Biological and psychological factors Neurotransmitters and mood stabilization Depression and anxiety The brain The cerebrum The cerebellum Brain stem The limbic system Environmental factors Insecure attachment What does self-injury accomplish? Consequences of self-injury 3. Self-injury and other conditions Self-injury and trauma Self-injury and suicidal ideation Self-injury and eating disorders Self-injury and substance abuse/misuse 4. Responding to self-injury Respond as concerned individual Respond as a friend Respond as a teacher or school professional Respond as a therapist Respond as a family member Managing one's own feelings Who needs to change? Being genuine and supportive Next step Common difficulties in responding to self-injury 5. Treatment and prevention of self-injury Assessment Environmental Biological Cognitive, emotional, and behavioral Establishing a therapeutic relationship Replacing behaviors Cognitive treatment Family therapy

pt. II. 6. Controversial issues

6. Self-injury in school settings

School personnel and treating self-injury

Ethical and legal considerations

7. Self-injury and relationships

Connected culture

Genuine contact

Making connections

Mindfulness

8. Self-injury and group counseling

Therapeutic factors

Instillation of hope

Universality

Imparting information

Altruism

Development of socializing techniques

Imitative behavior

Catharsis

Corrective recapitulation of the primary family group

Existential factors

Group cohesiveness

Interpersonal learning

Potentially healing

Confidentiality

Environment of change

Universality

Potentially harmful

Online group formats

9. Psychopharmacological treatment of self-injury

Purpose of medication in treating self-injury

Serotonin

Dopamine

Opiate

combining medication and therapy

pt. III. Resources

Important documents

Glossary

Timeline.