A motion sensing necklace comprising includes a pendant attached to lower ends of two lanyards. The pendant includes a help button for a user to generate a signal for help, and a battery to power the motion sensing necklace. A neck strap is attached to upper ends of the first and second lanyards. Two motion sensors are located within opposing ends of the neck strap. A microprocessor located within the neck strap processes signals from the motion sensors to determine whether motion has occurred. A transmitter or transceiver located within the neck strap transmits motion detection signals and alerts generated by the microprocessor.