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This trusted practitioner resource is acclaimed for its clear, compassionate, and hopeful approach to working with clients who self-injure. Barent Walsh and his associates provide current, evidence-based knowledge about the variety and causes of self-injurious behavior, its relationship to suicidality, and how to assess and treat it effectively. Illustrated with detailed case examples, chapters review a wide range of cognitive-behavioral interventions. Essential guidance is provided on tailoring the intensity of intervention to each client's unique needs. Reproducible assessment tools and handouts can be downloaded and printed in a convenient 8 1/2" x 11" size. New to this edition: incorporates up-to-date research and clinical advances now uses a stepped-care framework to match interventions to client needs chapters on the relationship between suicide and self-injury, formal assessment, family therapy, and residential treatment for adolescents special-topic chapters on "the choking game," foreign body ingestion, multiple self-harm behaviors, and self-injury in correctional settings.