Suicide Prevention, Intervention and Postvention (SPIP) - Purpose of Project: The purpose of the SPIP program is to reduce the prevalence of suicide among the Confederated Salish and Kootenai Tribes (CSKT) population. This will be accomplished through the improvement of care coordination; expansion of behavioral health services through culturally-appropriate, evidence-based models; and the development of activities for the Generation Indigenous Initiative by developing early intervention strategies for youth and adults at-risk for suicide behavior. Description of Project: CSKT is a well-coordinated tribal government with several service departments including the Tribal Health Department and its Behavioral Health - where this project will be housed. Access to quality medical and behavioral health assessment and care for community members and youth at-risk for suicide is a priority for CSKT. The need for more trained professionals, teachers and community members to recognize and intervene in this high-risk population is of paramount importance to the tribal government. There are several objectives of this project including increasing awareness through educating and training care providers on evidence-based model practices for suicide; lethal means counseling; safety planning; and trauma-informed care. This project plans tp implement and support community-driven suicide awareness campaigns, response teams, development and distribution of referral resources and culturally-appropriate support systems for all to access during times of crisis. Activities: This project endeavors to educate, train and support Tribal Health practitioners, Tribal youth and community members, and all those living on the Flathead Reservation to be able to recognize, assess, screen, refer and care for those at-risk for suicide. Numerous evidence-based suicide prevention, intervention and postvention trainings will be provided to: teachers, administrators, and students in the local school districts; staff in the courts, correctional facilities and law enforcement agencies; Tribal Health staff including all Behavioral Health employees; and community members. Focusing on trauma-informed suicide prevention, intervention and postvention, community response teams, Tribal Youth Councils, Community Advisory Boards and culturally-appropriate community connectedness activities, led by Tribal elders, will be implemented. Proposed Outcomes: The proposed outcomes of this project are the following: (1) Improved identification of risk factors associated with suicide; (2) Reduced access t lethal means; (3) Improved access to mental health care; (4) Increased use of suicide screening tools; and (5) Increase in participants reporting strong social support. Through the planning and implementation of data collection from multiple sources, using multi-factorial means, both a process and outcome evaluation will be conducted over the life of the grant. Sustainability: There are policies and procedures in place to assure that any changes are updated creating efficient processes, strong support for continued continuity, providing for a sustainable infrastructure of this project.