ABSTRACT

A large percentage of adolescents present at community-based mental health clinics following acts of nonsuicidal self-injury, such as cutting or burning, due to significant difficulties with self-regulation of their emotions [1-4]. These adolescents often report using self-injury strategies to

overcome emotional numbing [3], and many experience ongoing suicidal ideation, while some go on to make at least one and often more suicide attempts [3, 5, 6]. Given the nature of their presenting difficulties, many would argue that these adolescents have an “emerging borderline personality structure” [7-10].