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Safety Plan Worksheet

By Michael Vallejo, LCSW

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• Width: 8.5"
• Height: 11"
• Fillable PDF File

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If a child or teenager is having negative thoughts and sensations indicating that they're about to go into a crisis, it helps to give them a safety plan. This includes a list of coping strategies that will help them feel better, preventing them from engaging in self-destructive behaviors.

This safety plan worksheet allows a child or patient to mark relevant boxes under Triggers, Signals of Distress, and write down some encouraging statements they can use whenever they need help. Furthermore, it includes boxes where they can fill out their support systems with names and contact information, plus an agreement to follow this safety plan.

If you are a parent or mental health professional, know that it's important to evaluate suicide risk and encourage them to have ownership over their safety plan.

Want more resources like this? Check out our full catalog of depression worksheets and handouts.

Customer Reviews

Based on 4 reviews
Noelle C.

Helpful and easy to use.

Dani W.

Quick and easy download! Thanks!


Exactly what I was looking for!

Kim S.

I love using this with my kiddos.