Safety Plan Crisis

Signs I might be starting to feel worse:

Actions I might take:

Things to do to keep safe:

Actions I might take:

Things to avoid to keep safe:

Actions I might take:

Internal coping strategies:

Actions I might take

What makes my environment safe:

Actions I might take:

Social settings that provide distraction:

People whom I can ask for help:

Name

Phone

Name

Phone

Name

Phone

People whom I can ask for help...

Name

Phone

Name

Phone

Name

Phone

Professionals I can contact to ask for help:

Name

Phone

Name

Phone

Name

Phone

Agencies I can contact to ask for help

Name

Phone

Name

Phone

Name

Phone

If I am experiencing a crisis in any way or have harmed myself in any way:

People whom I can ask for help...

Name

Phone

Name

Phone

Name

Phone

Agencies to contact to ask for help...

Name

Phone

Name

Phone

Name

Phone