The Pima County Suicide Prevention program identifies and prevents suicides and domestic violence among those uninsured and underinsured individuals age 25 and older who live in Pima County, Arizona. These individuals will be outreached by behavioral health technicians in emergency room and psychiatric hospital environments, where they will be screened using the Columbia suicide screening tool. Individuals in need will then be referred to behavioral health and, or domestic violence services. We will provide an estimated 300 to 400 individuals with emergency housing and an additional 1500 with crisis hotline services during the 16 month grant period. Evidence based practices to be used include The National Action Alliance for Suicide Prevention Care Transitions Advisory Group authored Best Practices in Care Transitions for Individuals with Suicide Risk, Inpatient Care to Outpatient Care, safeTalk, ASIST, the Columbia suicide severity rating scale, and Motivational Interviewing. Through this work, we will increase referrals of at risk individuals, engage the county hospitals, and increase knowledge of suicide prevention through community based trainings. We will be measuring the number of unique individuals referred into care, individuals provided emergency housing, and individuals who complete suicide prevention training. We will work alongside partners at Pima County Health Department to track suicide rates. This application for funding is in partnership with Arizona Complete Health, the regional behavioral health authority in Pima County, and Emerge, the domestic violence provider for the county.