Through the Utah Responds Suicide Prevention Project, the Utah Division of Substance Abuse and Mental Health (DSAMH) will implement rapid follow-up with adults with adults at risk of suicide, training of clinical and community providers, expansion of nontraditional referral pathways and telehealth services, and enhanced services to survivors of domestic violence and their children. DSAMH will contract with Weber Human Services and Southwest Behavioral Health to implement rapid follow-up/care transition services to recently discharged adults ages 25+ at risk of suicide at two Emergency Departments, one each in northern and southern Utah, serving approximately 1,050 adults over the life of the project. The target areas, Weber County and Washington County, are in the top 5 most populated counties in Utah. Follow-up/care transition services will include the following evidence-based suicide prevention interventions: caring contacts, resource linking, appointments with rapid follow-up clinics, counseling on access to lethal means, safety planning, suicide screening, and clinical risk assessment (as needed). DSAMH will also increase access to quality services, including through non-traditional pathways, by implementing evidence-based suicide prevention training to community and clinical service providers for adults at risk for suicide. Approximately 250 clincians will receive training in evidence-based suicide assessment and suicide-specific treatment interventions over the life of the project. Approximately 1000 community partners and paraprofessionals serving adults at risk of suicide will receive evidence based suicide prevention gatekeeper and means counseling, over the life of the grant. Additionally, DSAMH will partner with Utah Department of Health to provide phone crisis counseling services to approximately 420 individuals referred through the COVID 19 Active Monitoring program, over the life of the grant. Finally, DSAMH will contract with the Utah Domestic Violence Coalition, using the Home Safe program, to increase safety and stability for victims of domestic violence and their dependents including a safe place to stay in the event that individuals are unable to remain safely in the home setting; serving approximately 98 families over the life of the project. Utah Responds Suicide Prevention Project will allow DSAMH to plan and act now to mitigate the negative mental health impacts of COVID 19 and prevent unnecessary suffering and death.