The Teen Suicide & Self-Harm Prevention Workbook is a proactive resource designed to help clinicians address the difficult issues of teen suicide prevention and self-harm. This reproducible workbook provides activity handouts, self-assessments, journaling prompts, and clinician guidance to support teens in understanding their thoughts, feelings, and behaviors and developing healthier coping strategies.
This step-by-step guide helps clinicians create a safe environment for teens to reflect on warning signs, risk factors, prevention strategies, and sources of support. The workbook is not diagnostic but offers practical tools to spark realizations, reduce stigma, and encourage hope and healing.
Reproducible resources: Activity handouts, self-assessments, and worksheets ready for use in therapy, classrooms, or small groups.
Progressive chapter structure: Each section builds on the last, helping teens move from self-reflection to positive action.
Clinician support: Guidance for adapting activities to individuals or small groups, ensuring confidentiality and safety.
Practical exercises: Self-exploration, journaling, coping strategies, and goal-setting activities.
Six focused chapters:
Self-Harm – explore and identify self-injury behaviors and coping alternatives.
Warning Signs – recognize emotional, behavioral, and situational red flags.
Risk Factors – understand personal, relational, and environmental influences.
Prevention – practice healthy coping strategies and crisis planning.
Support – build and strengthen personal support systems.
Resources – connect with national and local suicide prevention tools.
Clinicians, therapists, and counselors working with teens at risk of self-harm or suicide.
School psychologists and guidance staff addressing prevention and crisis intervention.
Youth program facilitators seeking structured activities to support vulnerable teens.
Teens in therapy or small groups who need safe, guided self-reflection and coping skills.
A Companion Teen Suicide & Self-Harm Prevention Card Deck for Deeper ConversationsNeed a creative way to start your session? Use the Teen Suicide & Self-Harm Prevention Card Deck.
Using the Discussion Starter Card Deck will break the ice, encourage openness, and help introduce a specific subject. Activity handouts included in these workbooks are reflective, easy-to-use exercises, presented in a variety of formats to accommodate multiple intelligences and different learning styles. Each question corresponds to a page in the workbook.
Sample Questions
Many people harm themselves in an attempt to deal with their emotional pain. What does your emotional pain feel like?
Rather than impulsively harming yourself in any way, what is a possible alternative at an emotional moment?
Who is part of your support team when you consider self-harm or suicide?
The Teen Suicide & Self-Harm Prevention Workbook equips clinicians and teens with reproducible worksheets, coping strategies, and resources to reduce risk and build resilience. Available in print and PDF eBook formats, it is a flexible tool for professionals working to safeguard adolescent mental health.
For additional resources, explore the Suicide & Self-Injury Prevention Workbook, the Teen Stress Workbook, and the Teen Self-Esteem Workbook.
Is this workbook appropriate for prevention as well as intervention?
Yes. The activities and self-assessments can be used proactively to increase awareness and coping skills, or in response to identified risks.
Can it be used in schools?
Absolutely. School counselors, psychologists, and social workers often use these reproducible worksheets in classrooms, small groups, or one-on-one sessions.
Does this replace professional care?
No. The workbook is a clinical support tool and should always be used under the supervision of a trained professional.