Your Safety Comes First

Suicide Safety Plan - Please list any animals, hobbies, or music you love.

Step 1: Warning signs:

1.

___________________________________________________________________________

2.

___________________________________________________________________________

3.

___________________________________________________________________________

Step 2: Internal coping strategies—things I can do to take my mind off my problems without

contacting another person:

1.

___________________________________________________________________________

2.

___________________________________________________________________________

3.

___________________________________________________________________________

Step 3: People and social settings that provide distraction:

1. Name_

___________________________________________________________________________

Phone___________________________________________________________________

2. Name_____________________________________________________________________

Phone__________________________________________________________________

3. Place_______________________________________________________________________

4. Place_______________________________________________________________________

Step 4: People whom I can ask for help:

1. Name______________________________________________________________________

Phone____________________________________________________________________

2. Name_____________________________________________________________________

Phone____________________________________________________________________

3. Name_____________________________________________________________________

Phone___________________________________________________________________

Step 5: Professionals or agencies I can contact during a crisis:

1. Clinician Name______________________________________________________________

Phone____________________________________________________________________

Clinician Pager or Emergency Contact #______________________________________________________

2. Clinician Name__________________________________

Phone____________________________________________________________________

Clinician Pager or Emergency Contact ____________________________________________________

3. Suicide Prevention Lifeline Phone: 1-800-273-TALK (8255) or 988

4. Local Emergency Serv_______________________________________________________________

Emergency Services Address__________________________________________________________

Emergency Services Phone____________________________________________________________

Step 6: Making the environment safe:

1._____________________________________________________________________________

2.___________________________________________________________________________