Safety Plan Worksheet for Teens Therapy Worksheets and Tools UK - Free Printable

This worksheet is designed to help someone understand and reflect on their self-injury behavior in a safe, structured way. It’s not meant to be done alone if the person feels overwhelmed — it’s best used with support from a trusted adult or therapist.

Let’s go through each part step by step:

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Part 1: Describing and exploring your self-injury

There are three boxes to fill out. Here’s how to think about each one:

Box 1: “Use this space to describe what your self-harm looks like. What materials do you use? How often does it occur?”

→ Think honestly but safely. You don’t have to share every detail — just enough to understand your pattern.
Example (if someone were filling this out):
“I sometimes scratch my arms with my nails when I’m upset. I do it maybe once or twice a week, usually at night.”

You can write something similar — whatever matches your experience.

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Box 2: “What are the emotions and events that lead you to engage in self-injury? What triggers your urge to self-injure?”

→ This helps you see what comes *before* the self-injury. Was it stress? A fight? Feeling lonely? Sadness? Anger?
Example:
“When I get yelled at by my parents, I feel really small and angry. That’s when I want to hurt myself.”

Write down what usually happens right before you feel the urge.

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Box 3: “How do you feel during and after the self-harm behavior?”

→ Be honest about both feelings — during (maybe relief, numbness, pain) and after (guilt, shame, calm, regret).
Example:
“During: I feel less overwhelmed. After: I feel guilty and scared someone will find out.”

This helps you notice if self-injury actually helps long-term — or if it makes things worse later.

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Remember: Self-injury is often a way to cope with big feelings that feel too hard to handle. But there are safer ways to deal with those feelings — and this worksheet is a first step toward finding them.

If you’re doing this for school or therapy, talk to your counselor or teacher afterward. They can help you turn these answers into a plan for feeling better without hurting yourself.

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Final Answer:
The worksheet asks you to reflect on your self-injury by describing:
1. What it looks like, what you use, and how often it happens.
2. What emotions or events trigger it.
3. How you feel during and after.

Fill in each box honestly using your own experiences — no right or wrong answers. The goal is understanding, not judgment.