Delphi Survey Study on Appropriate Interventions for Nonsuicidal Self-Injury Counseling Situations: Focused on the School Counseling Field

Objectives The purpose of this study was to derive appropriate intervention strategies and considerations for difficult situations in which domestic school counselors find it challenging to cope during nonsuicidal self-injury counseling processes. Methods To achieve this, we recruited 10 school counselors with over 5 years of experience as expert panelists and conducted three rounds of Delphi surveys. CVR(Content Validity Ratio) was caculated for each situation, and consensus was reached on appropriate intervention methods and considerations. Results As a result, a total of 34 appropriate interventions and 25 considerations were derived for six situations, including (1) situations involving parental indifference or refusal to cooperate, (2) ethical dilemmas related to confidentiality, (3) dealing with passive, non-voluntary clients, (4) situations where clients reject prescribed medication, (5) situations where cooperation from school members is difficult, and (6) situations where you are contacted late at night without any boundaries. Conclusions We hope that our findings can be utilized in the education of school counselors related to nonsuicidal self-injury counseling, contributing to the prevention of burnout and enhancing the effectiveness of self-injury counseling through the sharing of appropriate intervention methods.