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Safety plan template

If you or someone you are with is in immediate danger: call or text 988 (Suicide and Crisis Lifeline) in the US, call 911, or go to the nearest emergency room.

A safety plan is a short, personal document a client builds with you while they are safe, for use in the moments when they are not: their own warning signs, their own coping steps, the specific people and numbers they will actually call. This template follows the widely used six-step safety planning structure developed in suicide-prevention research — warning signs, internal coping, social distraction, people to ask for help, professional crisis contacts, and means safety — plus a reasons-for-living line that many clinicians add.

It is a clinical tool, not paperwork: it works when it is completed collaboratively in session, in the client's own words, and the client leaves with a copy they can reach at 2 a.m.

The template

Plain text — paste into any EHR or document
MY SAFETY PLAN

Name: ____________________   Created with: ____________________   Date: ____________

If I am in immediate danger: call or text 988 (Suicide and Crisis Lifeline, US),
call 911, or go to the nearest emergency room.

STEP 1 — MY WARNING SIGNS
Thoughts, images, moods, situations, or behaviors that tell me a crisis may be
building:
1. _____________________________________________________________________________
2. _____________________________________________________________________________
3. _____________________________________________________________________________

STEP 2 — THINGS I CAN DO ON MY OWN
Coping strategies that can take my mind off my problems without contacting anyone
(for example: going for a walk, music, a shower, a breathing exercise, exercise):
1. _____________________________________________________________________________
2. _____________________________________________________________________________
3. _____________________________________________________________________________

STEP 3 — PEOPLE AND PLACES THAT HELP ME FEEL BETTER
People I can be around, and social places that provide distraction and connection
(I do not need to tell them what is going on):
1. Name/place: ____________________________  Phone: ____________________
2. Name/place: ____________________________  Phone: ____________________
3. Name/place: ____________________________  Phone: ____________________

STEP 4 — PEOPLE I CAN ASK FOR HELP
People I trust enough to tell that I am in crisis:
1. Name: __________________________________  Phone: ____________________
2. Name: __________________________________  Phone: ____________________
3. Name: __________________________________  Phone: ____________________

STEP 5 — PROFESSIONALS AND AGENCIES I CAN CONTACT IN A CRISIS
My therapist: _____________________________  Phone: ____________________
Other provider (psychiatrist, PCP): _______  Phone: ____________________
988 Suicide and Crisis Lifeline (US): call or text 988, or chat at 988lifeline.org
Crisis Text Line (US): text HOME to 741741
Local crisis line or mobile crisis team: ________________________________
Nearest emergency room: ____________________  Address: ____________________

STEP 6 — MAKING MY ENVIRONMENT SAFER
Ways I will put time and distance between myself and anything I could use to hurt
myself (medications, firearms, other means):
1. _____________________________________________________________________________
2. _____________________________________________________________________________
People who can help me make my environment safer: _______________________________

WHAT IS WORTH LIVING FOR
The people, commitments, and hopes that matter most to me:
_________________________________________________________________________________
_________________________________________________________________________________

I will keep a copy of this plan: [ ] in my phone  [ ] in my wallet  [ ] at home
Next review date: ____________

How to use it

Common questions

Is a safety plan the same as a "no-suicide contract"?

No, and the difference matters. No-suicide contracts — asking a client to promise not to hurt themselves — have no evidence of preventing suicide and can shut down honest disclosure. A safety plan is the opposite: a collaborative, concrete list of what the client will do when a crisis builds, developed together while the client is calm enough to think clearly. Safety planning has real research support; contracts do not.

When should I complete a safety plan with a client?

Whenever there is any indication of suicide risk — an endorsement on a screener, a disclosure in session, a recent attempt or hospitalization discharge — and before the client leaves that session. It typically takes 20 to 45 minutes done well. A plan made "next week" protects no one this week.

Who writes the plan — me or the client?

The client, in their own words, with you guiding the structure. The plan only works if the client recognizes their own warning signs and believes in their own coping steps, and ownership is most of that. Your role is to prompt, help evaluate whether each item is realistic, and gently push for specifics — "call my sister" beats "reach out to someone."

How do I bring up the means-safety step without alienating the client?

Directly and collaboratively, the same way you would any other health risk. Ask what the client has access to, and problem-solve together how to add time and distance — storing medication with someone else, locking firearms and giving the key to a trusted person, or temporary off-site storage. Framing it as "buying your future self time" tends to land better than framing it as removal. Involving a family member often makes the step actually happen.

How often should the plan be updated?

Review it after any crisis where it was used — what worked, what did not — and at regular intervals while risk remains elevated. Contacts change, coping strategies wear out, and a plan the client has not looked at in a year is a document, not a plan. The template includes a next-review date for exactly this reason.

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This template supports, and does not replace, a clinical risk assessment and your own professional judgment. It reflects a widely used evidence-informed structure; adapt it to your setting and training, and follow your profession's standards for crisis care and documentation.