Part I; The Nature and Paradox of Self-Injury; Introduction: Self-Injury on the Frontlines; * Self-Injury: A New Symptom for Our Time; * Self-Injury in the Public Eye; * Self-Injury on the Internet; * The Problem for Frontline Professionals; * Self-Injury and the School Counselor; * Self-Injury and Student Services Professionals on the College Campus; * Self-Injury and Healthcare Professionals; * Frontline Responders, Countertransference, and the Crisis of Confidence; * Summary and Conclusion.