T&E Safety Strategy Template

SAFETY PLAN
STEP 1: WARNING SIGNS:
1. Feeling burdened by everyday responsibilities
2. Continuous negative thinking
3. Heightened irritability
STEP 2: INTERNAL COPING STRATEGIES – THINGS I CAN DO TO DISTRACT MYSELF WITHOUT REACHING OUT TO OTHERS:
1. Perform deep breathing techniques
2. Participate in a creative activity like painting
3. Listen to soothing music
STEP 3: PEOPLE AND SOCIAL SETTINGS THAT PROVIDE DISTRACTION:
1. Name: Sarah Johnson
   Contact: sarah.johnson@example.com
2. Name: Mark Lee
   Contact: mark.lee@example.com
3. Place: Community Library
4. Place: Local Park
STEP 4: PEOPLE WHOM I CAN ASK FOR HELP DURING A CRISIS:
1. Name: Emily Carter
   Contact: emily.carter@example.com
2. Name: John Smith
   Contact: john.smith@example.com
3. Name: Lisa Brown
   Contact: lisa.brown@example.com
STEP 5: PROFESSIONALS OR AGENCIES I CAN CONTACT DURING A CRISIS:
1. Clinician/Agency Name: Dr. Thomas Kelly
   Phone: 555-123-4567
   Emergency Contact: 555-987-6543
2. Clinician/Agency Name: City Mental Health Services
   Phone: 555-234-5678
   Emergency Contact: 555-876-5432
3. Local Emergency Department: City Hospital Emergency Department
   Emergency Department Address: 123 Main St, Anytown
   Emergency Department Phone: 555-345-6789
4. Suicide Prevention Lifeline Phone: 1-800-273-TALK (8255)
STEP 6: MAKING THE ENVIRONMENT