• Mental Health Crisis Safety Checklist

    A form to review immediate safety, available support, and next steps during a mental health crisis. Use the checklist to note current safety status and plan urgent follow-up.

  • Safety Status

  • Current immediate safety status*
  • Immediate warning signs currently present*
  • Currently alone?*

  • Support and Environment

  • Is a trusted person aware of your situation?*
  • Current location safety*
  • Do you have access to a phone or device to contact support?*

  • Immediate Safety Plan

  • Next action to take*
  • Harmful items or triggers moved away or made inaccessible*

  • Follow-up and Escalation

  • Planned follow-up check-in*
     - -
  • Notify if situation worsens*
  • Seek emergency help if safety cannot be maintained*
  • Should be Empty:
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