ABSTRACT

This chapter addresses adolescent suicide and nonsuicidal self-injury. Nonsuicidal and suicidal thoughts and behaviors are usually associated with depressed mood, but they can also occur following trauma, with substance use, or with other mental health problems. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (American Psychiatric Association, 2013), includes nonsuicidal self-injury and suicidal behavior as “Diagnoses for Further Consideration.” We review the familial and cultural contexts, diagnostic considerations, prevalence, clinical course, and etiology associated with these behaviors. Information and resources are provided for screening, prevention, treatment, and postvention. The chapter also includes a vignette, reflective questions, suggestions for working with adolescents, and supplemental resources to promote critical thinking and multicultural competence.