This article proposes a framework that can be used by college counselors to assist in the development and implementation of a campus wide intervention that is congruent with sound clinical and administrative practices. A view of self-injurious behavior (SIB) informed by trauma theory espouses clinical treatment and a community response that has a dual focus: the safety of the individual who self-injures and the impact of the behavior on the living and learning environment of others. This dual emphasis of concern is illustrated in a case example. The authors describe therapeutic community principles, which provide a framework to create and maintain a living and learning environment conducive to the health and healing of students, guide clinical practice, and inform the development of policies and procedures that support a collaborative university response to intervene when students self-injure, and discuss five universal principles and their implications for college counseling.