Cutting Through Stigma: Suggested Best Practices for a Harm Reduction Approach to Nonsuicidal Self-Injury

Abstract

For many counselors, both topics of nonsuicidal self-injury (NSSI) and harm reduction practices can feel intimidating and unclear. Yet, depending on the client, discussion of complete and immediate cessation from NSSI can feel impossible and isolating. This article combines harm reduction principles, a concept initially developed for addiction treatment, with select existing recommendations for NSSI treatment to offer a clinician's guide to best practices for harm reduction implementation with clients engaging in NSSI. By meeting clients where they are and offering a supportive space to brainstorm nontraditional treatment options, counselors can maintain the core principles of the American Counseling Association's Code of Ethics and limit the number of individuals who seek help through online sources. Ethical considerations and implications for counseling are included.