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Embed code for: Safety Plan for SI
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I, ________________________________, agree not to harm myself either intentionally or accidentally. This means I will not cut, hit, injure or kill myself, and I will not engage in activities that might result in injury to my mind or body.
Step 1: Warning signs (thoughts, images, mood, situation, behavior) that a crisis may be developing:
Step 2: 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:
Step 4: People whom I can ask for help:
Step 5: Professionals or agencies I can contact during a crisis:
______________________________________________ Phone: ________________
Suicide Prevention Lifeline Phone: 1-800-273-TALK (8255)
Step 6: Making the Environment Safe:
Student Signature: ____________________________________________ Date: _________________
Counselor Signature: __________________________________________ Date: _________________