New Jersey’s R2S Challenge is a comprehensive, statewide collaborative that promotes a growth mindset during times of high-risk transitions to prevent attempts and death by suicide among 10-24-year-old youth. The R2S Challenge will: build social connections for youth using public-private partnerships; distribute grants to school districts, community colleges and hospitals to enrich resiliency; enhance identification and referral of youth at risk for suicide among youth-serving systems; improve clinical expertise of service providers; and facilitate successful growth after crisis or loss. Over the course of five-years, New Jersey will reach nearly 25,000 individuals with suicide prevention training/education (including 2,500 clinicians and up to 66 colleges). Up to 8 school districts will receive suicide prevention, intervention, and post-suicide intervention consultation/training with technology enhancements; approximately 3,600 youth at risk for suicide and their families will receive follow-up care coordination and intervention. Project goals are: 1) Improve Readiness to Thrive by increasing resiliency and protective factors; 2) Improve Readiness to Support by increasing the number of youth-serving organizations able to identify and work with youth at risk of suicide; 3) Improve Readiness to Care by increasing the capacity of clinical service providers to assess, manage and treat youth at risk for suicide; and 4) Improve Readiness to Embrace by increasing continuity of care and follow-up of youth at risk for suicide; or those exposed to death by suicide. Objectives: 1a) Implement the Lifelines Curriculum with fidelity; 1b) Implement digital suicide prevention screening program; 2a) Create an R2S challenge e-learning and resource sharing portal open to the public; 2b) Create a youth-driven social media/public awareness campaign; 2c) Increase ability of public and private system of care and families to identify, respond, & refer youth at risk for suicide; 2d) Implement screening at youth-serving organizations including primary care; 2e) Improve parents/guardians ability to access care for youth at risk for suicide; 2f) By 12/31/20, launch an e-learning automated system to track training completion, send reminders and capture data on the number of providers trained. 3a) Increase clinical and medical facilities staff’s ability and utilization of suicide risk; 3b) Increase knowledge and utilization of safety planning intervention; and 3c) increase knowledge and utilization of cognitive behavioral therapy for suicide prevention; 4.) Create a care coordination system to provide follow-up after discharge from ED and behavioral health facilities and connect to care; 4b) Increase timely referrals for appropriate community-based mental health care and treatment following identification via schools, screening, hospital or ED visit; 4c) Provide parents/caregivers resources/support on navigating mental health services; 4d) Enhance resources for families to identify outpatient and inpatient services; and 4e) Provide post-suicide intervention services, care, and information to families, schools, and other youth-serving systems.