What are your current mental health diagnoses,if any

Have you had any treatments, therapies, or medications in the past that you found beneficial?

Were there any treatments, therapies, or medications you had adverse reactions to or wish to avoid?

Are there specific medical professionals or therapists you'd trust to consult regarding your care during a crisis?

How would you define a situation where you might be unable to make informed decisions about your mental health?

Who should we contact in case of an emergency? Please provide their names, relationships to you, and contact details.

Are there personal coping mechanisms or activities that help calm you during distress (e.g., certain music, breathing exercises)?

If hospitalisation is needed, do you have a preferred hospital or clinic?

How do you feel about treatments like electroconvulsive therapy (ECT) or similar interventions?

Are there any dietary needs or restrictions we should be aware of, such as vegan, vegetarian, halal, gluten-free, etc.?"

Can you list things or situations that might exacerbate your mental health symptoms?

When communicating with you during a crisis, are there specific methods or tones that are more comforting or effective?

List any medications you're currently taking or important medical information that should be known in a crisis.

If required, is there someone you've designated (or would like to designate) with the legal right to make decisions on your behalf?

Where will you keep this document so it's readily accessible when you need it?

You've Completed Your Advance Statement

You have successfully created a safety plan. Make sure you check back regularly and keep it updated!