In this qualitative study, the authors explored an online support group for individuals who self-injure. Twenty members of a private and moderated online group responded to questions about their history of self-injury and experiences with the online self-injury support group. Themes emerged related to the relational and emotional aspects of self-injury, the therapeutic connections in the group, experiences with no triggering norms, and strategies for asynchronous group interaction. The authors provide recommendations for counselors and group leaders.