Crisis Safety Plan
Your emergency roadmap. Saved securely on this device.
Pre-populated based on clinical evidence for Substance Use Disorder. Learn them before a crisis happens.
- Overdose: unresponsive, blue lips, slow or stopped breathing — call 911 immediately
- Expressing intent to harm themselves or others
- Severe withdrawal symptoms: seizures, delirium tremens, extreme confusion
- Suicidal statements or behavior (substance use disorders carry high suicide risk)
- Violent or threatening behavior under the influence
- Return to use after a period of sobriety, especially with high-risk substances
- Suicidal ideation: 'I'd rather be dead than sober,' 'I can't do this anymore'
- Signs of severe intoxication: unable to stand, slurred speech, unresponsive to name
- Stopping medication-assisted treatment (methadone, buprenorphine) without medical supervision
- Significant escalation in use: using more frequently, using more dangerous substances
- Isolation and complete withdrawal from all support
- Increased cravings or preoccupation with using
- Reconnecting with people associated with past use
- Returning to places or situations associated with use
- Increased stress, conflict, or life disruption (common relapse triggers)
- Stopping or reducing attendance at support groups or therapy
- Romanticizing past use: 'it wasn't that bad,' 'I could control it this time'
Used in VA hospitals, crisis centers, and emergency departments worldwide. Fill it out before a crisis. Review it together regularly. Keep a copy on the refrigerator, in a wallet, and on a phone.
Warning Signs
Thoughts, moods, situations, or behaviors that signal a crisis may be developing.
Internal Coping Strategies
Things they can do on their own — without contacting anyone — to take their mind off the crisis.
People and Places That Provide Distraction
Social contacts or settings that can help shift focus — without necessarily discussing the crisis.
People I Can Ask for Help
Family members or friends who can help during a crisis — people they trust enough to tell what is happening.
Professionals and Agencies to Contact
Treatment providers, crisis lines, and emergency services.
741741 — Crisis Text Line (text HOME)
911 — Emergency Services
Making the Environment Safe
Specific steps to reduce access to lethal means. Refer to the Lethal Means Counseling section above.
One thing that makes life worth living
Research shows that identifying a specific reason to live — however small — is protective during a crisis.
Stanley, B. & Brown, G.K. (2012). Safety planning intervention: A brief intervention to mitigate suicide risk. Cognitive and Behavioral Practice, 19(2), 256–264.
What specific actions will you take when you notice warning signs? Personalize these for your situation.