Safety Planning Worksheet

A safety plan is a prioritized list of coping strategies and support sources you agree to use before considering suicide or self-harm. Based on the evidence-based Stanley-Brown Safety Planning Intervention, this tool helps you build your personal plan in six steps.

If you are in immediate danger, call 988 (US Suicide & Crisis Lifeline) or go to your nearest emergency room.

1

Warning signs that a crisis may be developing

Thoughts, images, moods, situations, behaviors

2

Internal coping strategies

Things I can do on my own to distract myself from the crisis:

Activities / distractions

3

People and settings that provide distraction

Contacts I can reach out to for distraction (not necessarily to discuss the crisis):

Name 1

Phone

Name 2

Phone

Social settings where I can go

4

People I can ask for help

People I trust enough to tell I'm in crisis:

Name 1

Phone

Name 2

Phone

5

Professionals and crisis services

Therapist / clinician

Psychiatrist / prescriber

Local emergency

Crisis line

6

Make the environment safer

Means restriction — remove or limit access to lethal means

My Safety Plan

Keep a copy of this plan where you can access it easily. Share it with your therapist.