The relationship between self-injury (SI) and suicide is largely unclear. However, researchers have suggested that clients who self-injure are at a heightened risk of suicide (Chapman & Dixon-Gordon, 2007; Toprak, Cetin, Guven, Can, & Demircan, 2011]). Thus, it is important that college counselors be knowledgeable about both SI and suicide. In this article, the authors provide an overview of SI and suicide, as well as practical information for college counselors.