An anti-ligative bed linen system includes one-piece bedding having a top blanket attached to the base of a bottom cover to fit on a mattress. The bed linen includes quilted material that resists tearing or vandalism. The features of being one-piece, quilted, and tear resistant creates a bed linen that is difficult to contrive a hanging device from. Rolling up the quilted material makes a thicker lanyard as compared to a sheet or thin blanket that hospitals typically use. The thicker the lanyard the less lethal it is. Built into the structure are features that allow another bed linen set to be installed over an existing set so the user can use multiple blankets if desired. Another feature includes an alarm system that warns when the bed linen has been removed from the mattress. A washable foldable quilted pillow provides safe comfort and avoids the dangers of using pillowcases.