The authors surveyed 458 young adults and examined the relationships among stress, self-differentiation, and nonsuicidal self-injury (NSSI). They conducted multiple regression analyses to explore whether characteristics of self-differentiation (i.e., emotional reactivity and "I position") were related to NSSI after controlling for the effects of stress, as well as whether emotional reactivity and I position served as mediators in the stress-NSSI relationship. I position and emotional reactivity both contributed statistically significant variance to NSSI after accounting for stress. Moreover, both I position and emotional reactivity served as partial mediators in the stress-NSSI relationship. The authors discuss counseling and research implications.

Counselors encounter the needs of youth (3–17 years) in a variety of settings; however, outside of school counseling, the profession faces a lack of preparation, professional development, and research focused on mental health practice with youth. Using the Delphi method, 12 counselor educators and 15 practicing counselors were polled regarding research priorities for mental health counseling with youth. Research that considers how varying developmental stages and systems (e.g., families, schools, communities) affect the mental health of youth was identified as a priority. Implications for counselor preparation, professional development, and research are offered on the basis of these results.

The relationship between nonsuicidal self-injury (NSSI) and spirituality is an emerging area of research deserving additional investigation. The authors examined the link between NSSI and attachment to God or a higher power among college students (N = 516). They found a statistically significant relationship between anxious attachment to God or a higher power and NSSI and avoidant attachment to God or a higher power and NSSI. Researchers and counselors can draw implications from these findings.

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