The Title of this grant application is Kwu ctxtnwixw. Kwu ctxtnwixw means “we help each other”. When our elders speak at gatherings many times they express, “we used to help each other”. We want to reclaim Kwu ctxtnwixw on the Colville Reservation and use this tribal value in our fight to prevent and reduce suicidal behavior, substance abuse and to promote good mental health in our tribal youth age 16-24. From a 2012 a Community Readiness for Change Assessment conducted in the four districts of the Colville Reservation. The Assessment rates the Communities stage of Readiness on a scale of 1-9 (with 9 Community Ownership the optimal score). The Keller and Inchelium communities both scored 3.5 with 3 being Vague Awareness and 4 Preplanning on the scale. Omak scored 3.9 and Nespelem 3.8. The recommendation for the Keller and Inchelium communities was to raise awareness that the community can do something. The goals outlined in the project will target the reduction of suicide, suicide ideation, depression, and mental health issues by continuing the awareness and providing the necessary tools to Tribal programs and local schools requiring assistance for the person. Goal 1 will be the continuation of surveillance program for tracking suicidal ideation, suicidal attempts, suicide completions and non-suicidal self-injury a replicated model from the White Mountain Apache Suicide and Self Injury Surveillance System (SSISS) on the Colville Reservation to addresses the need for a comprehensive and standardized suicide surveillance system that created the suicide risk protocols for prevention and intervention. Goal 2 aims to provide a more efficient community mobile teams by redeveloping a strategic plan unique to each community needs by creating unit for each unique community to address the specific requirements for intervention and prevention. Goal 3 will look to improve the current infrastructure for case management analysis for warm hand-off between Tribal programs, and local schools to other Tribal programs equipped for prevention and intervention, with occasionally outside reference as needed. The recommendation for the Omak and Nespelem communities was to raise awareness with concrete ideas to combat suicide while expanding into the other communities (Inchelium and Keller). We used these recommendations to help define our goals for this grant. All three goals together will begin the process of reclaiming Kwu ctxtnwixw in our communities.