Non-Suicidal Self-Injury in Adolescents and Adults


About the Course 

Self-injury is a serious behavioral problem in which an individual purposefully inflicts damage to his or her body through methods such as cutting, scratching, burning, or other activities in the absence of suicidal intent. Research indicates high prevalence rates of self-injury, with between 13% and 45% of adolescents reporting having purposely self-injured at least once, and 4% to 28% of adult clinical populations reporting a lifetime occurrence of the behavior (Bentley, et al., 2014; Plener et al., 2016). Common methods of self-injury include skin cutting, scratching to the point of drawing blood, head banging or hitting, burning, and inserting sharp objects into the skin, among other methods. This behavior can result in serious medical complications and is a known risk factor for later suicidal behavior.   

Learning Outcomes

Upon the completion of this course, the learner should be able to:

  • Define self-injury, including its prevalence and common presentations.? 
  • Explain the historical classification of self-injury and its inclusion as a disorder for further investigation in Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5).? 
  • Identify the developmental trajectories for self-injury in adolescents and adults. 
  • Identify factors that commonly contribute to the development of self-injury, the possible functions of self-injury, and the health consequences of self-injury.? 
  • Describe approaches to assessing self-injurious thoughts, behaviors, and methods.? 
  • Differentiate self-injury from other diagnoses and comorbidities.?
  • Explain the approaches to treating self-injury.? 

About the Author/Presenter

Jassin Jouria, MD, is a practicing Emergency Medicine Physician who specializes in resuscitation of critical patients. Most of his clinical work is at the Decatur County Memorial Hospital Emergency Department in Greensburg, Indiana. With his background in General Surgery, Trauma Surgery clinical research, and disaster medicine, Dr. Jouria is extremely familiar with emergency and critical care. His interests include Pre-Hospital Medicine, Disaster Medicine, State and Federal disaster response and preparation, as well as international disaster aid. Dr. Jouria has developed Continuing Education curricula for Critical Care, Pre-Hospital/EMS quality control, post-surgical care, and improving overall patient outcome. Dr. Jouria has served as a test prep tutor and instructor for Kaplan. He has developed several medical courses and curricula for a variety of educational institutions. Dr. Jouria has also served on multiple levels in the academic field including faculty member and Department Chair. Dr. Jouria continues to serve as a Subject Matter Expert for several continuing education organizations covering multiple basic medical sciences. Dr. Jouria has published an academic textbook on Anatomy & Physiology.

How to Receive Credit

  • Read the entire course online or in print which requires a 4-hour commitment of time. 
  • After completion of the course, complete the final examination.  A passing grade of 75% is required. Test questions link content to learning outcomes as a method to enhance individualized learning and material retention. 
  • Note to Nursing professionals: Depending on your state requirements, you will be asked to either affirm that you have completed the course, or you will be required to complete the Post-test included in the course.
  • Provide required personal information and payment information.
  • Complete the mandatory course evaluation.
  • Print your Certificate of Completion.

Resolution of Conflict of Interest

Colibri Healthcare, LLC implemented mechanisms prior to the planning and implementation of the continuing education activity, to identify and resolve conflicts of interest for all individuals in a position to control content of the course activity.

Sponsorship/Commercial Support and Non-Endorsement

It is the policy of Colibri not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.


The information provided in this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

©2023: All Rights Reserved. Materials may not be reproduced without the expressed written permission or consent of Colibri Healthcare, LLC. The materials presented in this course are meant to provide the consumer with general information on the topics covered. The information provided was prepared by professionals with practical knowledge of the areas covered. It is not meant to provide medical, legal, or professional advice. Colibri Healthcare, LLC recommends that you consult a medical, legal, or professional services expert licensed in your state. Colibri Healthcare, LLC has made all reasonable efforts to ensure that all content provided in this course is accurate and up to date at the time of printing but does not represent or warrant that it will apply to your situation nor circumstances and assumes no liability from reliance on these materials. Quotes are collected from customer feedback surveys. The models are intended to be representative and not actual customers.

Accreditations and Approvals

Colibri Healthcare, LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. Colibri Healthcare, LLC maintains responsibility for this program and its content. Most states accept courses offered by APA approved sponsors. 

Colibri Healthcare, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6341. Programs that do not qualify for NBCC credit are clearly identified. Colibri Healthcare, LLC is solely responsible for all aspects of the programs. 

Colibri Healthcare, LLC, Provider 1147, formerly Elite Professional Education, LLC, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE Providers. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE Provider approval period: 5/5/2023 to 5/5/2026.