SAFE-T Steps

Current and historical risk factors:

Protective factors and reasons for living:

Ideation, plan, intent, behavior, lethality, and timeframe:

Risk level, rationale, consultation, and intervention:

Follow-up interval, responsible party, and contingency plan:

Access to lethal means:

Means-restriction counseling:

Crisis line documented (988 or local crisis number):

C-SSRS disposition linkage / risk rationale:

Plan and Follow-Up

Focus	Documentation
Risk formulation	Summarize ideation, behavior, intent, access to means, protective factors, and clinical judgment. Risk level and rationale: Protective factors: Uncertainty / collateral needed:
Safety actions	Document safety plan, means-safety counseling, crisis resources, consultation, and level-of-care decision. Safety plan / means safety: Consultation / higher level of care: Crisis resources:
Follow-up	Record timing, responsible clinician or support person, collateral contacts, and contingency plan. Follow-up interval: Responsible party / collateral: Contingency plan:

Focus

Documentation

Risk formulation

Summarize ideation, behavior, intent, access to means, protective factors, and clinical judgment.

Risk level and rationale:

Protective factors:

Uncertainty / collateral needed:

Safety actions

Document safety plan, means-safety counseling, crisis resources, consultation, and level-of-care decision.

Safety plan / means safety:

Consultation / higher level of care:

Crisis resources:

Follow-up

Record timing, responsible clinician or support person, collateral contacts, and contingency plan.

Follow-up interval:

Responsible party / collateral:

Contingency plan: