• Patient Safety Plan Template

  • Step 1:  Warning signs (thoughts, images, mood, situation, behavior) that a crisis may be developing: 

  • Step 2: Internal coping strategies – Things I can do to take my mind off my problems without contacting another person (relaxation technique, physical activity):

  • Step 3: People and social settings that provide distraction:

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  • Step 4: People whom I can ask for help:

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

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  • Suicide Prevention Lifeline Phone: 1-800-273-TALK (8255)

  • Step 6: Making the environment safe: 

  • Clear
  • Should be Empty: