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.___________________________________________________________________________