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Teens · Safety

Teen Self-Harm Safety Sheet

Function, alternatives, delay, means

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If you self-harm, this sheet is not judgment. It's harm reduction, alternatives, and a plan. Fill it in with a therapist if you can.

What self-harm is doing for me right now

Naming the function is not endorsing it — it's the first step in replacing it.

Release, control, punishment, feeling something, feeling nothing, communicating
Alternatives to try in the moment
  • Ice held in hand until it hurts
  • Snap a hair tie
  • Intense workout — sprint, push-ups to failure
  • Cold shower
  • Draw on skin with red pen
  • Rip paper, break sticks
Delay commitment
One person I'll text before, and how long I'll wait before acting
Means safety
What I'm putting out of easy reach; who's helping me

Not weakness; not attention-seeking

Self-harm is usually solitary coping for pain that has nowhere else to go. Better tools exist. So do people who can hold this without judgment.

References & further reading

Conceptual background and further reading, not validation of this handout. Named instruments and methods belong to their original authors; custom prompts and trackers are not validated versions of those instruments.

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