safety planning form
Each of the sections below can be filled in with the details of your Safety Plan. Once completed, you can save the plan or produce a PDF version that can be downloaded and/or printed.
Professionals Involved
Today is tough
What's going on/what's happened? If it is helpful, try and identify what is happening for you right now
Are there certain things that you are feeling? For example; sadness, anxiety or anger
Are there things that are running through your mind? For example; worries, thoughts, words, phrases or images?)
Has something specific made things being tough right now? Try to identify this/these things and list them here. For example; your surroundings, something you saw or something someone said to you.
Now
What do you think would help?
Is there anything that could distract you or shift your mood? Perhaps something that you enjoy or makes you feel safe. For example; listening to music, exercising, writing, doing art or speaking with a friend.
Is that available to you? Do you need help to access that? Who could help?
Who could you reach out to? How do you reach out and contact them. For example; a friend or family member that you would be able to speak or be with or a professional service that you trust.
If you've felt this way (or a similar way) before, what has helped previously?
What can you do to make your environment safe? For example; go a comforting place like your bed, make your environment more comfortable with blankets and calming music or go to an entirely new place, which is identified as safe, such as a friend's house or peaceful park
Later
What help do you think you would need to keep safe later on?
Is this different to what you need right now? Have a think about how things might be later today or tomorrow and what you will need. For example; rest/comfort, distraction or company.
Who could you reach out to later today and how do you contact them?
Could a professional service help you later? If so which, do you trust and how can you contact them?
If it would help you to reach out for help then you can click ‘SEND to other’
Tomorrow
What help do you think you would need to keep safe tomorrow or beyond? It might be helpful to think about what you need to stay safe and well or seek help as we move on to a new day? It might be worth thinking about whether you want to communicate to someone about how hard it has been for you – or maybe see if extra support can be put in place. This can be from a friend, or someone you trust, or maybe even someone who is involved in supporting you in other ways.
Tomorrow or beyond who could you reach out to? How do you contact them?
Could a professional service help - if so which do you trust? How do you reach out and contact them?
How to get help
If it would help you to reach out for help then you can click SEND to other – and this will send the safety plan along with this message "I have just completed this online safety plan. I am sending this to you because I have identified you as someone I trust, and I want you to know that I am in a mental health crisis at the moment. Please could you reach out to me so we can talk about this more?" You can also send this to yourself, save as a pdf or print.
Email form to you / others Print / Print to PDF