Safety Plan Note Template

If there's anything you're struggling to fill out on this, I recommend you briefly prioritize strengthening that area of your life before continuing. Scrape together anything you can to get this filled out because it's your safety net while you work on everything else.

Paper / PDF Options

Independent Coping Skills

Three soothing activities / coping mechanisms I can use all on my own




Emergency Contacts

Three people you know personally who will pick up the phone for you any time, day or night.




Safe Places

Three Places you could go to escape a distressing situation (think library, park, waffle house, the gym)




Crisis Professionals

Three mental health professionals, organizations, or services you could contact in the event that the above strategies fail. If you don't currently have a therapist, try to find three of these services that are accessible to you: Wikipedia's Comprehensive Worldwide List of Crisis Phone Lines