Self-Harm Safety Plan

A helpful worksheet to help you plan ahead

We’ve created a helpful worksheet template which can help you to create a safety plan around self-harm. 

This safety list features questions to help you understand your feelings about self-harm and has areas for you to fill in with emergency contact information and useful resources that can be referred to in the moment, before or after, you feel like self-harming. 

You can download the sheet using the button at the bottom of this page, or you can copy down the following questions and create your own worksheet or list, in case you don’t have access to a printer. 

My Self-Harm Safety Plan 

• If I need emergency medical attention I will phone 999 or attend my local emergency dept which is: 
• An important person for me to contact is: 
• The ways I usually hurt myself are: 
• I can limit the harm by: 
• The function(s) of my self-harm is/are: 
• People I can phone when I don’t feel safe and need support are: (this could be professionals, helplines, or people in your personal life)
• Things I can do to self soothe are: 
• Distractions and alternatives that might help me are: 
• If I have hurt myself, I will still try to treat myself with compassion and take the best care of myself that I can by: 
• I feel safest when: It is helpful when: 
• I feel most unsafe when: 
• It is not helpful when: 

You could also add your own additions to your Safety Plan. Keep it in a prominent place so you can refer to it easily when you need it. 

If you need to discuss further support, please visit our Get Help page.