Table 4 Core-elements in the psychotherapeutic treatment of NSSI

The following core elements of the psychotherapeutic treatment of NSSI should be considered

 Clear contracts in the case of suicidality or NSSI

 Building commitment for treatment

 Psychoeducation

 Identifying factors that trigger or maintain NSSI

 Providing alternative behavioral skills or problem solving strategies in the case of NSSI

 Attention to and treatment of comorbid psychiatric disorders as suggested in evidence based guidelines