Lesson Plan
Facilitator Guide and Safety Considerations
Students will identify personal internal and external stressors, practice box breathing regulation, understand suicidal ideation and warning signs, and use Acknowledge–Care–Tell to list trusted adults/resources and personalize a Lifeline Card.
Adolescents face various stressors and may not know healthy coping or help-seeking strategies. This lesson builds self-awareness, emotional regulation, and confidence in reaching out when in crisis.
Audience
9th Grade
Time
45 minutes
Approach
Interactive discussion, guided practice, and personalized reflection.
Materials
Facilitator Guide and Safety Considerations, Stress and Support Essentials, One-Word Stress Check-In, 2-Minute Pre/Post Pulse Check (5 Items), Pulse Check Answer Key and Scoring Guide, Box Breathing Drill and Reset Timer, My Stress Map (Internal/External), Who Are My Safe People and How to Reach Them, Acknowledge–Care–Tell Helper Script, My Lifeline Card (Wallet-Size Resource List), and Grounding Exit Ticket (5-4-3-2-1)
Prep
Review Materials and Safety Protocols
10 minutes
- Read through Facilitator Guide and Safety Considerations to familiarize yourself with safety protocols and scripting notes.
- Scan Stress and Support Essentials slide deck to ensure understanding of key concepts.
- Print or prepare digital access to student materials: One-Word Stress Check-In, My Stress Map (Internal/External), My Lifeline Card (Wallet-Size Resource List), and Grounding Exit Ticket (5-4-3-2-1).
- Set a visible timer for the Box Breathing Drill and Reset Timer.
- Ensure students know how to contact school support and local crisis line (988).
Step 1
Pre-Check and Establish Safety Norms
5 minutes
- Welcome students and review classroom norms: confidentiality, respect, voluntary sharing.
- Conduct 2-Minute Pre/Post Pulse Check (5 Items) as a baseline; have students record answers.
- Remind students of available supports and emergency procedures via Facilitator Guide and Safety Considerations.
Step 2
Define Stress and One-Word Check-In
5 minutes
- Present definitions: stress vs. stressor; fight–flight–freeze using Stress and Support Essentials.
- Facilitate One-Word Stress Check-In; students share anonymously via sticky notes or digital tool.
- Debrief common stressors and categorize as internal/external.
Step 3
Box Breathing Practice and Stress Mapping
10 minutes
- Model box breathing technique: inhale-2s, hold-2s, exhale-2s, hold-2s using Box Breathing Drill and Reset Timer.
- Guide students through 3 rounds.
- Distribute My Stress Map (Internal/External); students identify three personal stressors and label them as internal or external.
- Pair-share observations.
Step 4
Suicidal Ideation, Warning Signs, and Acknowledge–Care–Tell
15 minutes
- Define suicidal ideation in age-appropriate terms and highlight common warning signs via Stress and Support Essentials.
- Introduce Acknowledge–Care–Tell steps; review Acknowledge–Care–Tell Helper Script.
- In small groups, practice ACT with brief scenarios; groups rotate roles: student, helper, observer.
- Debrief experiences and reinforce confidentiality and care protocols.
Step 5
Lifeline Card Personalization and Grounding Exit Ticket
10 minutes
- Distribute My Lifeline Card (Wallet-Size Resource List); students list three trusted adults (with contact info) and school/community resources (including 988).
- Invite volunteers to share their plans (optional).
- Conclude with Grounding Exit Ticket (5-4-3-2-1) for self-regulation.
- Collect exit tickets and remind students of support channels.
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Slide Deck
Stress and Support Essentials
Agenda:
• What is stress vs. stressor?
• Fight–Flight–Freeze response
• Box breathing regulation
• Suicidal ideation and warning signs
• Acknowledge–Care–Tell help-seeking
Use this opening slide to introduce today's focus: understanding stress and how to get support. Briefly review the agenda: definitions, the brain’s stress response, breathing regulation, suicide basics, warning signs, and the Acknowledge–Care–Tell method.
Stress vs. Stressor
• Stressor: an event or situation that causes worry or strain (e.g., exams, arguments, high expectations).
• Stress: the physical and emotional reaction we have when faced with a stressor.
• Internal vs. external stressors: thoughts/feelings vs. people/situations.
Explain that ‘stressors’ are events or pressures, while ‘stress’ is our body’s response. Use classroom examples (tests, arguments, self-pressure). Invite students to share brief examples.
Fight–Flight–Freeze Response
• Fight: preparing to confront a threat (heart races, muscles tense).
• Flight: preparing to escape (rapid breathing, heightened alertness).
• Freeze: feeling stuck/unable to act (mind blanks, body stills).
• Triggered by the brain’s alarm system (amygdala).
Describe how the fight–flight–freeze response is an automatic survival reaction. Connect to real life: a scary noise (fight), running from danger (flight), feeling stuck (freeze).
Box Breathing Technique
- Inhale for 4 seconds
- Hold for 4 seconds
- Exhale for 4 seconds
- Hold for 4 seconds
Repeat for 3–5 rounds to calm the body and mind.
Guide students through a live practice. Count aloud or use a timer. Emphasize equal counts for each side of the box. Encourage students to close their eyes if comfortable.
Play this video to guide students through the box breathing practice visually.
Suicidal Ideation
• Thoughts or ideas about ending one’s own life.
• Can be fleeting or persistent.
• A warning sign that someone is in distress and needs help.
Define suicidal ideation in simple, non-judgmental terms. Emphasize that having thoughts does not mean someone will act on them, but it is a sign they need support.
Warning Signs of Suicidal Thinking
• Talking about wanting to die or to kill oneself
• Extreme mood swings or sudden calm after being upset
• Withdrawal from friends, family, or activities
• Changes in sleep or appetite
• Giving away prized possessions
Review each sign and ask students to consider whether they’ve noticed any in themselves or others. Stress confidentiality: if a friend shows these signs, it’s okay to talk to a trusted adult.
Acknowledge–Care–Tell (ACT)
- Acknowledge: Notice and name what you see (“You seem upset.”)
- Care: Show genuine concern (“I care about you.”)
- Tell: Reach out to a trusted adult or professional for help
Walk through each ACT step with examples: “I’ve noticed you seem really down (Acknowledge). I care about you and want you to be safe (Care). Let’s talk to our school counselor together (Tell).”
Getting Help
• 988 Suicide & Crisis Lifeline: Call or text 988
• School Counselor: Ms. Smith, Room 210, ext. 1234
• Trusted Adults: Parent, Coach, Teacher
• Online Chat: visit 988lifeline.org for live chat
Highlight the most accessible resources. Encourage students to save these contacts on their phones or write them on their Lifeline Card.
Key Takeaways & Next Steps
• Stress vs. stressor and your body’s alarm system
• Box breathing to regulate stress
• Recognize suicidal thoughts and warning signs
• Use ACT to connect people with help
Next: One-Word Check-In and Box Breathing Drill
Summarize key points and transition to the next activity: One-Word Stress Check-In and Box Breathing Drill. Remind students that today’s work will help build their Lifeline Card later.
Warm Up
One-Word Stress Check-In
Time: 5 minutes
Purpose: Quickly name and share your current stress feelings to build awareness and community support.
Materials: Sticky notes (or digital tool like chat/poll)
Instructions:
- Ask each student to grab a sticky note (or open the chat/poll).
- Write one word that best describes how you’re feeling right now—no sentences.
- Post your word anonymously within 30 seconds.
- Once everyone has posted, project or read a handful of words.
- Briefly debrief: What patterns do we notice? (internal vs. external stressors)
Quiz
2-Minute Pre/Post Pulse Check (5 Items)
Answer Key
Pulse Check Answer Key and Scoring Guide
Use this guide to interpret changes in students’ pre- and post-lesson responses on the 2-Minute Pulse Check. There are no “right” or “wrong” answers, but tracking shifts helps you gauge the lesson’s impact on stress management, regulation skills, and help-seeking confidence.
1. Scoring Setup
- Assign numeric values to each Likert response:
• Strongly Disagree = 1
• Disagree = 2
• Neutral = 3
• Agree = 4
• Strongly Agree = 5 - Reverse-score items that describe negative states so that higher scores always = better outcomes:
• Question 2 (physical signs of stress):
– Originally: SA=5 (worst), SD=1 (best)
– Reverse: SA→1, A→2, N→3, D→4, SD→5
• Question 4 (feeling overwhelmed): same reverse mapping as Q2. - For Questions 1, 3, and 5, keep the original scoring (higher = better).
2. Calculating Change Scores
- For each student and each question:
Change = (Post-lesson score) − (Pre-lesson score) - You can also compute an overall Average Resilience Score:
(Q1 + Q2_rev + Q3 + Q4_rev + Q5) ÷ 5 - Then find the difference in that average from pre to post.
3. Interpreting Results
• Positive Change indicates improvement (e.g., more confidence, fewer stress signs).
• Negative Change indicates a decline (e.g., increased overwhelm, less confidence).
Suggested thresholds for individual or class trends:
• Strong Improvement: change ≥ +1.5 points
• Moderate Improvement: +0.5 to +1.4 points
• Stable/Minimal Change: -0.4 to +0.4 points
• Moderate Decline: -1.4 to -0.5 points
• Strong Decline: change ≤ -1.5 points
4. Question-Level Notes
- Q1: Managing Stress
Higher post-scores show greater perceived ability to manage stress. - Q2: Physical Stress Signs (reverse-scored)
Higher post-scores mean fewer physical stress symptoms. - Q3: Breathing Technique Confidence
Direct measure of regulation skill confidence. - Q4: Feeling Overwhelmed (reverse-scored)
Higher post-scores indicate reduced overwhelm. - Q5: Knowledge of Resources
Tracks awareness of trusted adults or crisis resources (including 988).
Flag for follow-up:
• Any student whose post-lesson Q5 ≤ 3 (Neutral or below) may need extra support in identifying resources.
• Any student whose post-lesson Q4_rev ≤ 3 may still feel significantly overwhelmed.
5. Next Steps for Teachers
- Group Debrief: Share anonymized class averages to celebrate improvements or identify topics needing reinforcement (e.g., more practice with box breathing).
- Individual Check-Ins: Reach out to students with strong declines or low resource-awareness scores.
- Adjust Instruction: If many students show little change in Q3 or Q1, consider adding another breathing practice or stress-management activity.
- Document Trends: Repeat this pulse check in future lessons to track progress over time.
By systematically scoring and interpreting these items, you’ll gain actionable insights into how well students are learning regulation skills, recognizing stress, and building their support networks.
Activity
Box Breathing Drill and Reset Timer
Time: 10 minutes
Purpose: Guide students through a structured breathing exercise to calm the body’s stress response and build regulation skills.
Materials:
- Visible timer or countdown app (set to 4-second intervals)
- Optional: soft background music or chime
Setup:
- Arrange students so they can see you and the timer clearly.
- Remind students of confidentiality and that they can close their eyes if comfortable.
Instructions:
- Introduce the technique (1 minute)
- Remind students of the four steps: Inhale–Hold–Exhale–Hold.
- Explain each phase is 4 seconds long.
- Reference the slide: Box Breathing Technique.
- Demonstration & Counting (1 minute)
- Model one full round, counting aloud: “Inhale…1–2–3–4, hold…1–2–3–4, exhale…1–2–3–4, hold…1–2–3–4.”
- Encourage slow, even breaths through the nose (inhale) and mouth (exhale).
- Guided Practice (6 minutes total: 2 minutes per 3 rounds)
- Round 1: 4–4–4–4 using the timer.
- Reset Timer, then Round 2.
- Reset Timer, then Round 3.
- For each reset, pause 5 seconds and invite students to notice how they feel.
- Reflection (2 minutes)
- Distribute a quick reflection prompt or ask students to jot notes.
- Use the space below or in journals:
- Before Round 1, I felt:
- After Round 3, I feel:
- Before Round 1, I felt:
Tips for Teachers:
- Keep your tone calm and steady—your pacing sets the atmosphere.
- Watch for students who seem tense or fidgety; remind them they can shorten counts or rest between rounds.
- Emphasize that this tool is available anytime they need a pause during the day.
After completing the drill, transition to the next activity by inviting students to apply this technique whenever they notice stress or worry.
Worksheet
My Stress Map (Internal/External)
Use this worksheet to identify and categorize your personal stressors.
- Identify Your Stressors
Write three personal stressors you have experienced recently.
a. ________________________________
b. ________________________________
c. ________________________________
- Categorize Each Stressor
For each stressor above, label it as Internal (thoughts, feelings, self-expectations) or External (people, situations, environment).
a. Stressor (from 1a): ____________________ Category: Internal / External
b. Stressor (from 1b): ____________________ Category: Internal / External
c. Stressor (from 1c): ____________________ Category: Internal / External
- Describe the Impact
Choose one stressor and describe how it affects your thoughts, feelings, or actions.
Stressor: ________________________________
Impact: ___________________________________________________________________
- Reflection
Which type of stressor (internal or external) do you find more challenging to manage? Why?
___________________________________________________________________________
When you’re done, you’ll use these insights in your pair‐share and on My Lifeline Card (Wallet-Size Resource List) to plan healthy coping and support strategies.
Discussion
Who Are My Safe People and How to Reach Them
Time: 10 minutes
Purpose: Identify trusted adults and community resources, discuss how to initiate contact using the Acknowledge–Care–Tell steps, and prepare for personal Lifeline Card entries.
Guidelines:
• Confidentiality: What you share stays in the circle unless someone is in danger.
• Respect: Listen fully without interrupting.
• Voluntary Sharing: You may pass if you’d rather not speak.
1. Brainstorm (3 minutes)
In small groups (3–4 students), take 2 minutes to list people or resources you consider safe. Think broadly: family, teachers, coaches, community helpers, hotlines, online resources.
• Who comes to mind first?
• What qualities make this person/resource feel safe?
After 2 minutes, each group shares one example with the whole class.
2. Identifying Contact Methods (3 minutes)
For one trusted person from your list, discuss:
• How would you reach out? (In person, phone call, text, email)
• What words might you use to start the conversation?
Reference Acknowledge–Care–Tell Helper Script for ideas.
Example Starter:
"Hey Coach Lee, I’ve been feeling really stressed about school lately (Acknowledge). I care about your advice and support (Care). Could we talk after practice today? (Tell)"
3. Scenario Practice (3 minutes)
In pairs, role-play a quick scenario: one student plays someone seeking support, the other plays the trusted person. Use the ACT steps. Switch roles after 1.5 minutes.
Scenario Prompt:
"You’ve been overwhelmed with homework and family worries. Choose a trusted adult from your brainstorm to practice reaching out to."
After both rounds, share one key takeaway with your partner: what felt easy? What felt challenging?
4. Debrief and Connect to Lifeline Card (1 minute)
• What did you learn about your preferred way to reach out?
• What questions do you still have?
Remind students: today’s insights will help you complete My Lifeline Card (Wallet-Size Resource List), where you’ll record names, contact methods, and brief ACT scripts for three trusted people/resources (including 988).
Script
Acknowledge–Care–Tell Helper Script
Teacher (T): “Alright everyone, let’s learn a simple, three-step way to support someone who might be struggling. We call it ACT—Acknowledge, Care, Tell. I’ll walk you through each step, share some examples, and then we’ll practice together. Ready?”
1. Acknowledge
T: “First, Acknowledge what you see or hear. This means noticing a change and naming it out loud. For example, you might say:
• “I’ve noticed you’ve been really quiet in class lately.”
• “You seemed upset after lunch today.”
T (prompt to students): “What are other ways we could acknowledge how someone seems? Turn to a partner and brainstorm one sentence, then share with the class.”
(Pause ~30 seconds for partner talk, then invite 2–3 examples.)
T (after sharing): “Great—acknowledging shows you’re paying attention and that you care enough to notice.”
2. Care
T: “Next, show Care. You express genuine concern for their well-being. You might say:
• “I care about you and want to make sure you’re okay.”
• “It sounds like you’ve been having a rough day, and I’m here for you.”
T (prompt to students): “What words could you use to show care? Write one phrase on your paper, then we’ll share.”
(Pause ~20 seconds, then ask 2 students to read aloud.)
T: “Exactly—that caring tone matters. It tells your friend they’re not alone.”
3. Tell
T: “Finally, Tell a trusted adult. This means letting someone who can help know what’s going on. For example:
• “I’m going to talk to our school counselor, Ms. Smith, because I want to make sure you get support.”
• “Let’s find a safe adult together—maybe your coach or your parent.”
T (prompt to students): “Why do you think the ‘Tell’ step is so important?”
(Listen to a few responses: “Because they can help,” “Because we need adults to take action.”)
T: “Yes—telling ensures someone with experience and resources steps in.”
Guided Practice
T: “Now let’s practice ACT in pairs. Here’s what to do:
- One person plays the friend who is struggling.
- The other person is you using ACT.
- Use a short scenario: “Your friend seems overwhelmed by tests this week and hasn’t eaten lunch with you.”
T: “In your pair, follow these prompts:
• Acknowledge what you notice.
• Care with a caring statement.
• Tell who you will reach out to and how.
You have 2 minutes. Then we’ll switch roles.”
(After 2 minutes, signal to switch and then debrief.)
Debrief and Reflection
T: “How did it feel to use ACT? What was easy? What felt hard?”
(Invite 3 volunteers to share briefly.)
T: “Remember, you’ll use this framework when you fill out your My Lifeline Card (Wallet-Size Resource List). Write down your own Acknowledge, Care, and Tell phrases for three trusted people, including the 988 Lifeline.”
T: “Well done, everyone. ACT gives us clear words and steps to help someone who might be hurting. Keep practicing this—your words can make a real difference.”
Journal
My Lifeline Card (Wallet-Size Resource List)
Purpose: Create a compact, personal reference of trusted adults and resources you can turn to when stressed or in crisis. Use your ACT phrases to guide conversations.
Instructions
- List three trusted adults or resources (including 988) that you feel comfortable contacting.
- For each, note how you’d reach out, and draft your Acknowledge, Care, and Tell steps using the framework from Acknowledge–Care–Tell Helper Script.
- Reflect on your comfort level and potential challenges in using this Lifeline Card.
- Keep this card in your wallet, locker, or phone for quick access.
Trusted Person/Resource #1
Name:
Role/Relationship:
Contact Method (phone, text, in person): ____________________
Acknowledge (“I’ve noticed…”):
___________
Care (“I care about you…”):
_____________
Tell (“Let’s talk to…”):
____________________________________________
Trusted Person/Resource #2
Name:
Role/Relationship:
Contact Method (phone, text, in person): ____________________
Acknowledge (“I’ve noticed…”):
___________
Care (“I care about you…”):
_____________
Tell (“Let’s talk to…”):
____________________________________________
Trusted Person/Resource #3 (including 988 Lifeline)
Name:
Role/Resource: ______________________
Contact Method (e.g., “Call or text 988”): ________________
Acknowledge (“I’ve noticed…”):
Care (“I care about you…”):
Tell (“I will…”):
____________
Reflection and Planning
- Which contact feels easiest for you to reach out to? Why?
- Which contact feels most challenging? What could help you overcome that barrier?
- If one of your contacts is unavailable, what’s your backup plan? (e.g., alternate person, online chat, school counselor)
- Visualize your support network: draw a small symbol, icon, or sketch that represents feeling safe and supported by these people/resources.
Cool Down
Grounding Exit Ticket (5-4-3-2-1)
Time: 5 minutes
Purpose: Use your senses to bring attention to the present moment, calm your mind, and check in on how you feel after today’s lesson.
Instructions:
Take a deep breath and notice your surroundings. Then, complete each step below.
- See – 5 things you can see right now:
- ________________________________
- ________________________________
- ________________________________
- ________________________________
- ________________________________
- ________________________________
- Touch – 4 things you can touch:
- ________________________________
- ________________________________
- ________________________________
- ________________________________
- ________________________________
- Hear – 3 things you can hear:
- ________________________________
- ________________________________
- ________________________________
- ________________________________
- Smell – 2 things you can smell (or imagine smells):
- ________________________________
- ________________________________
- ________________________________
- Taste – 1 thing you can taste (or imagine tasting):
- ________________________________
- ________________________________
Reflection:
Which of these senses felt most calming or grounding to you today?
_________________________________________
One word to describe how you feel right now:
_________________________________________
Turn in this exit ticket as you leave. Remember, you can use this 5-4-3-2-1 grounding anytime you need a quick reset.