Get the free CHILD/ADOLESCENT SELF-HARMING BEHAVIOR FORM

CHILD/ADOLESCENT SELF-HARMING BEHAVIOR FORM CLIENT: Client Person Completing Form: Parent Guardian Modification Date contributed to the Completion of this Form Risk Plan. Mtg. Date: Self-harming Behavior

How to fill out childadolescent self-harming behavior form

How to Fill Out the Child/Adolescent Self-Harming Behavior Form:

1. Start by reading the instructions carefully to understand the purpose and scope of the form.
2. Provide the required personal information about the child/adolescent, such as their name, age, gender, and contact details.
3. Answer the questions about the child's background, including their family dynamics, living situation, and any relevant medical or psychological history.
4. Move on to the specific questions regarding self-harming behaviors. Take your time to accurately assess and document any instances of self-harm, including the frequency, methods used, and severity.
5. Consider any contributing factors or triggers that may be associated with the self-harming behaviors. This could include information about relationships, school, peer pressure, or mental health conditions.
6. If applicable, provide any information about current treatments or interventions being utilized to address the self-harming behaviors, such as therapy, medication, or support groups.
7. Take note of any protective factors that may exist, such as supportive relationships, coping skills, or positive hobbies.
8. Lastly, ensure that all sections of the form are properly completed, signed, and dated.

Who Needs the Child/Adolescent Self-Harming Behavior Form:

1. Mental health professionals, including psychologists, therapists, and counselors, who are working with children or adolescents displaying self-harming behaviors.
2. School counselors, teachers, or administrators who need to gather information about a student's self-harming behaviors in order to provide appropriate support and interventions.
3. Parents or guardians who are seeking help for their child's self-harming behaviors and need to provide comprehensive information to healthcare providers or therapists.
4. Researchers or academics studying self-harming behaviors in children and adolescents, who may use the form to collect data for their studies or interventions.

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