PERSONAL TRIGGER LIST

Educational worksheet only. Not a diagnostic instrument or clinical assessment.

1. Trigger or situation:
2. Category (internal, external, emotional, social, sensory, trauma-related, environmental):
3. What happened right before the risk rose?
4. What thoughts showed up?
5. What emotions showed up?
6. What body sensations showed up?
7. Urge intensity (0-10):
8. What do I usually do next?
9. Safer response:
10. Support person to contact:
11. Environmental change that would lower risk:
12. Follow-up action for later today or tomorrow: