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STEP 1: WARNING SIGNS
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Signs I am headed towards a crisis and need to use my plan
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Warning sign:
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Warning sign:
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Warning sign:
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Warning sign:
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STEP 2: INTERNAL COPING STRATEGIES
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Things I can do to distract myself without involving other people
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Distractor:
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Distractor:
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Distractor:
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Distractor:
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STEP 3: PEOPLE, PLACES, SETTINGS TO PROVIDE HEALTHY DISTRACTION
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People that distract me and places I can go to be safe and/or around people
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Person (name and phone number):
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Person (name and phone number):
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Place:
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Place:
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STEP 4: PEOPLE I CAN CONTACT TO ASK FOR HELP
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Family, friends, colleagues I can talk to about my mental health
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1. Name and Phone:
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2. Name and Phone:
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3. Name and Phone:
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4. Name and Phone:
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STEP 5: PROFESSIONALS AND AGENCIES I CAN ASK FOR HELP
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Clinician at Infinite Mindcare (name, phone, email):
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Clinician at Infinite Mindcare (name, phone, email):
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Other clinician (name, phone, agency):
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Local Hospital: Health Services Authority, 95 Hospital Road, 345-949-8600 (type 'Go here in an emergency' in the text box)
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Other contact (name, phone, agency):
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STEP 6: MAKING THE ENVIRONMENT SAFE
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Steps to take to reduce access to lethal means
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1.
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2.
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3.
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4.
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STEP 7: MY REASONS FOR LIVING
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Things that are most important to me and worth living for
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1.
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2.
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3.
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4.
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5.
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6.
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