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Kelly Emelianchik-Key, NCC, is an Assistant Professor at Florida Atlantic University. Rebekah J. Byrd, NCC, is an Assistant Professor at East Tennessee State University. Amanda C. La Guardia, NCC, is an Assistant Professor at Sam Houston State University. Correspondence can be addressed to Kelly Emelianchik-Key, Department of Counselor Education, 777 Glades Road, Building 47, Room 458, Boca Raton, FL 33431, kemelian@fau.edu. Kelly Emelianchik-Key, Rebekah J. Byrd, Amanda C. La Guardia Adolescent Non-Suicidal Self-Injury: Analysis of the Youth Risk Behavior Survey Trends