LIST MENTAL HEALTH PROVIDERS, AS WELL AS 24/7 EMERGENCY CONTACT NUMBERS THAT CAN BE ACCESSED IN A CRISIS. Cone Nane DO. SRA 244 Phone Number: BOO Wd gold Contact Name a Ave, Vena, Phone Number: BAU Contact Name: Tp Dylitt\-e aa 4 Phone Number: (y WA - 53/2 LIST THE STEPS TO BE TAKEN TO REMOVE ACCESS TO MEANS OF SUICIDE FROM THE ENVIRONMENT, » KANE Wow lockbo > Yae dod ak A lode Cabinet “g WHEN DO YOU FEEL MOST AT EASE DURING THE DAY? WHO PO YOU LOVE? WHAT DO YOU ENJOY DOING? WHAT DID YOU USED 10 ENJOY DOING? WHAT IS IMPORTANT TO YOU, OR WHAT HAS KEPT YOU ALIVE UP UNTIL NOW? USED TO BE IMPORTANT TO YOU HWhon Im OL que * wok Ams qnalo * Duly Agen 0G Aprieling SC world Page2SAFETY PLAN And Crisis Intervention ‘WHAT (SITUATIONS, THOUGHTS, FEELINGS, BODY SENSATIONS, OR BEHAVIORS) DO YOU EXPERIENCE THAT INDICA TE A SUICIDAL CRISIS MAY BE DEVELOPING OR LET YOU KNOW YOU ARE UNWELL EMOTIONAL Y? ao oe + Sad hopeless LIST THE COPING STRATEGIES THAT CAN BE USED TO DIVERT THOUGHTS, INCLUDING SUICIDAL THOUGHTS, p to Whe mar stoee and 4 make up di “on vo Weoley, baun ao Ce Wich google. 6 “40 4 Nhe ayn b P Ronny - DRL 2 WeAN Venda Leaimn a LST Al THE PEOPLE THAT CAN BE CONTACTED IN A CRISIS, ALONG WITH THEIR CONTACT INFORMATION Contact Name: 2K Phone Number: g (21 2a Contact Name: | A Phone Number: 7 ¢ aH (2} Contact Name: Tom Phone Number: QA . Berane Page2