Your Name 's Safety Plan on Today’s Date
Step 1: My Warning Signs of a Crisis
Step 2: Activities I Can Do By Myself to Try to Take my Mind off of Things
THINGS I LIKE TO DO, COPING SKILLS, OR THINGS I’M GOOD AT:
Step 3: Taking My Mind off of Things
PEOPLE WHO CAN DISTRACT ME: PLACES I CAN GO TO:
Step 4: People I Can Call for Help
NAME OF PERSON:
RELATIONSHIP:
CONTACT INFO:
Step 5: Ways That Supportive People Can Help Me Stay Safe
Step 6: I Can Call These Very Important Phone Numbers To Stay Safe!
WHO:
CONTACT INFO:
WHEN:
I’M GOING TO USE MY PLAN BECAUSE THESE ARE MY REASONS TO LIVE
Safety Plan | Adapted by Social Work Tech (2021) from an original work by Barbara Stanley, Gregory K. Brown (2008)
Document provided for reference only and user(s) assume risks involved with safety planning.
!is work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 4.0 Unported License.