Suicidal and Nonsuicidal Self-Injury Behaviors: A Primer for Rehabilitation Counselors

Abstract

Rehabilitation counselors have a unique role in addressing suicidal and self-injury thoughts and behaviors in people with disabilities. Adults and adolescents with disabilities are at increased risk of suicide and nonsuicidal self-injury (NSSI), necessitating that rehabilitation counselors possess the knowledge and skills to respond systematically and effectively. To address this need, rehabilitation counselors should have access to sufficient education and ongoing training on self-injury terminology, prominent theories, ethical and legal issues related to research and practice, risk/protective factors, and risk assessment processes and instruments. The objective of this article is to provide rehabilitation counseling professionals with an overview of research on suicidality and NSSI, including a review of existing literature related to specific disability groups. Key issues and recommended considerations for rehabilitation counselors are highlighted, including training, risk assessment, evidence-based practice, ethical considerations, self-awareness, and supervision and support.