Which elements constitute a safety plan?

• A. Identifying warning signs, internal and external coping strategies, contacts, emergency resources, and steps to reduce risk; agreement with the patient and removal of means when possible.
• B. Diagnosis, prognosis, and treatment options.
• C. Billing codes and appointment scheduling.
• D. Family history and genetic testing.

Answer: (A)

A safety plan is a practical, collaborative tool used in crisis moments to help someone stay safe by turning awareness into action. The best answer includes warning signs so the person and their supporters can spot when risk is rising, and both internal coping strategies (things the person can do alone to calm or manage urges) and external coping strategies (reach-out options and supports available in the person’s environment). It also lists contacts and emergency resources to use when help is needed, and concrete steps to reduce risk, such as removing means or arranging a safer environment. The plan is strengthened by the person’s agreement and engagement, which improves adherence and respects autonomy. Removing means is a key risk-reduction element because it directly lowers the chance of acting on harmful impulses during crises.

Options focused on diagnosis, prognosis, and treatment options, or on administrative or genetic information, don’t serve the same immediate, practical safety function and thus aren’t part of a safety plan.