Question 1

What is a safety plan?

Accepted Answer

A safety plan is a prioritized written list of coping strategies and resources that you can use during or before a suicidal crisis. It is based on the Stanley-Brown Safety Planning Intervention, which is one of the most evidence-based suicide prevention tools available. The plan includes 6 steps: recognizing warning signs, using internal coping strategies, contacting people for distraction, reaching out for help, contacting professionals or crisis lines, and making your environment safer. The idea is to work through the steps in order, starting with the simplest strategies and escalating only if needed.

Question 2

Is a safety plan the same as a no-suicide contract?

Accepted Answer

No. A no-suicide contract is a promise not to self-harm; it is not a substitute for risk assessment, collaborative safety planning, or care. A safety plan instead organizes concrete coping and support steps. In a 2018 JAMA Psychiatry cohort comparison, a clinician-delivered Safety Planning Intervention plus structured follow-up was associated with 45% fewer suicidal behaviors over six months among adult Veterans Health Administration emergency-department patients than usual care. That finding does not establish that this standalone web tool prevents suicide.

Question 3

Should I create a safety plan with a therapist?

Accepted Answer

Ideally, yes. While this tool allows you to create a safety plan on your own, the gold standard is to develop one in collaboration with a mental health professional who knows your situation. A therapist can help you identify warning signs you might not recognize, suggest coping strategies tailored to you, and ensure your plan is as strong as possible. If you already have a therapist, bring your plan to your next session for review. If you do not have a therapist, creating a plan on your own is still far better than having no plan at all.

Question 4

How often should I update my safety plan?

Accepted Answer

You should review and update your safety plan regularly, at minimum, every few months or whenever something significant changes in your life. Update it when your support network changes (new therapist, new friends, someone moves away), when you discover new coping strategies that work for you, after a crisis (what worked? what did not?), or when your warning signs shift. Many therapists review the safety plan at the beginning of each session. Think of it as a living document, not a one-time exercise.

Question 5

What does 'making my environment safer' mean?

Accepted Answer

Step 6 of the safety plan focuses on reducing access to things that could be used for self-harm during a crisis. Research from Harvard's Means Matter project shows that this is one of the single most effective suicide prevention strategies. It does not mean you are 'dangerous', it means you are being smart about protecting yourself during your most vulnerable moments. Practical steps include asking a trusted person to temporarily hold onto certain items, securing medications in a locked box or giving them to someone else, and identifying a safe place you can go if you need to leave your current environment.

Question 6

What if I do not have anyone to put on my plan?

Accepted Answer

If you are struggling to think of people to add to Steps 3 and 4, that is okay, and it is more common than you might think. Start with the crisis resources that are already pre-filled in Step 5: the 988 Suicide and Crisis Lifeline (call or text 988), Crisis Text Line (text HOME to 741741), and the SAMHSA helpline (1-800-662-4357). These services connect you with trained counselors who genuinely want to help. You can also consider adding a faith leader, a coworker, a neighbor, a doctor's office, a local crisis center, or a peer support warmline. Even one name on your plan is valuable.