Safety plan template with Indian crisis numbers

A printable safety plan template to fill in with a client: warning signs, coping steps, people to contact, Tele-MANAS and 112, a safer environment and reasons for living.

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Fill this in together with your client, in their own words. Then print it or save it as a PDF for them to keep somewhere they can reach in a crisis.

Name (optional)

1My warning signsThoughts, feelings, situations or behaviours that tell me a crisis may be building.
2Things I can do on my ownActivities that take my mind off things or calm me down.
3People and places that help me feel betterFriends, family or places that give me company or distraction.
4People I can ask for helpNames and phone numbers of people I trust to tell that I am struggling.
5Professionals I can contactMy clinician, clinic, psychiatrist or doctor, and the nearest hospital emergency department.
- Tele-MANAS (free, 24x7): 14416 or 1-800-891-4416
- Emergency: 112
6Making my surroundings saferSteps to keep away from things I could use to harm myself, and who will help.
7My reasons for livingWhat matters most to me and is worth staying alive for.

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Safety plan template with Indian crisis numbers

My safety plan

1. My warning signs

2. Things I can do on my own

3. People and places that help me feel better

4. People I can ask for help

5. Professionals I can contact

6. Making my surroundings safer

7. My reasons for living