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The collaborative development of a safety plan is a brief psychosocial intervention for suicidal patients. The intent of a safety plan is to help patients to lower their imminent risk of suicidal behavior. It provides patients with a specific and prioritized set of coping strategies which can be used in the event of a suicidal crisis, or should suicidal thoughts emerge. Clinicians unfamiliar with safety planning should note that it differs from a ‘no-suicide contract’ – empirical evidence that no-suicide contracts prevent suicidal behavior is poor, whereas there is emerging evidence that developing a safety plan is an evidence-based intervention for reducing suicide risk.
A Safety Plan is a prioritized written list of coping strategies and sources of support patients can use who have been deemed to be at high risk for suicide. Patients can use these strategies before or during a suicidal crisis. The plan is brief, is in the patient’s own words, and is easy to read.
Any patient who has a suicidal crisis should have a comprehensive suicide risk assessment. Clinicians should then collaborate with the patient on developing a safety plan.
Safety Planning is a clinical process. Listening to, empathizing with, and engaging the patient in the process can promote the development of the Safety Plan and the likelihood of its use.
Implementing the safety plan. There are 6 steps involved in the development of a safety plan.
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