Crisis Safety Plan
Your emergency roadmap. Saved securely on this device.
Pre-populated based on clinical evidence for Autism Spectrum Disorder (ASD). Learn them before a crisis happens.
- Self-injurious behavior causing significant harm: head-banging, biting, scratching that breaks skin
- Aggression toward others causing injury
- Complete shutdown: unresponsive, unable to move or communicate for extended periods
- Expressing intent to harm themselves or others
- Elopement (running away) into dangerous situations: traffic, water, unfamiliar areas
- Significant regression in previously established skills: communication, self-care, social engagement
- Meltdowns increasing dramatically in frequency, duration, or intensity
- Complete refusal to eat or drink for more than 24 hours
- Suicidal statements (more common in autistic individuals than often recognized)
- Severe anxiety or panic that is not responding to usual supports
- Major sleep disruption lasting more than a week
- Increased stimming behaviors beyond their usual baseline
- Increased sensitivity to sensory input: covering ears more, refusing textures, avoiding light
- Increased rigidity: more distress around routine changes
- Withdrawal from activities or people they usually engage with
- Increased echolalia or loss of spontaneous communication
- Changes in eating patterns: new food refusals, reduced appetite
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.