A Cognitive-Behavioral Approach to Case Formulations for Nonsuicidal Self-Injury

Nonsuicidal self-injury (NSSI) is a highly prevalent behavior among clinical and nonclinical samples. Despite the prevalence, maladaptive, and potentially dangerous nature of the - behavior, no empirically supported interventions have been identified specifically for NSSI, and clinicians report a lack of knowledge regarding the treatment of NSSI. This article discusses the application of a common component of therapy, the case formulation, to conceptualizing and treating NSSI. This strategy for case formulation incorporates cognitive-behavioral and functional analytic approaches while focusing on factors pertinent to the development, maintenance, and treatment of NSSI. A case example is presented.