If you are thinking about suicide right now, you do not need to finish a worksheet first. If you are in immediate danger, call 911. Otherwise call or text 988, the Suicide & Crisis Lifeline, and you can build this plan with the person who answers.

How to use it

  • Fill it in on a calmer day, not in the middle of a crisis.
  • If you see a therapist or counselor, build it with them or bring it to your next session.
  • Be specific. “Call my sister Ana” works better than “talk to family.”
  • Work through the boxes in order when things start to slide. If one step does not help, go to the next.
  • Keep copies where you will find them: your wallet, your nightstand, a photo on your phone, and with one person you trust.
  • Update it after any crisis, and whenever a phone number or person in it changes.

This worksheet follows the same general order as published safety planning interventions. It is not the Stanley-Brown Safety Plan form and has not itself been tested in research.

The guide How to make a mental health safety plan explains each box in more depth.

My safety plan
Name: ____________________________   Date made: ______________   Last updated: ______________
1

My warning signs

The thoughts, feelings, situations, or changes in sleep and behavior that tell me a crisis may be building. Examples: not answering texts, staying in bed past noon, thinking “everyone would be better off.”

2

Things I can do on my own to get through the next hour

Small, doable things that have helped before. Examples: a cold shower, a walk around the block, a specific playlist, slow breathing, writing it out.

3

People and places that get me out of my own head

Somewhere to be around others, or someone to be with, without having to explain anything. Examples: a coffee shop, the gym, a neighbor, a meeting, a friend’s couch.

4

People I can tell what is really going on

People I trust to hear “I’m not okay” and help. Write their numbers here so I do not have to search for them.

Name / phoneName / phoneName / phone
5

Professionals and crisis lines

My therapist, psychiatrist, or doctor, plus after-hours numbers. Ask each office what to do if you need them outside business hours.

Clinician / phoneClinician / phone

Emergency: 911  ·  Suicide & Crisis Lifeline: call or text 988 (veterans press 1)  ·  Crisis Text Line: text HOME to 741741  ·  Nearest emergency room: ______________________

6

Making my space safer

What I will put distance between myself and when things get bad, and who will help. Examples: someone else holds my medications, I keep only a few days’ supply, anything dangerous is stored away from home or locked by someone else.

7

What I am holding on for

People, pets, plans, beliefs, or small things worth staying for. Write at least one, even if it feels small today.

If I am in immediate danger, I call 911. If my plan is not enough, I call or text 988.  ·  Worksheet from mhrecovery.ai

Make it easy to reach

Once it is filled in, take a photo of it and save it as a favorite on your phone. Give a copy to the person in box 4 you are most likely to call, so they know what you have agreed to try and what you will want from them.

This worksheet is an educational tool, not a substitute for care from a qualified clinician. If you or someone else is in immediate danger, call 911. For a mental health crisis, call or text 988.