With the Florida Launch Engage Activate Departments and Systems for Zero Suicide (FL LEADS) Project, Florida will transform and improve suicide care practices, standards, and outcomes in health and behavioral health systems through a theory driven, multi-system and interconnected three part approach (Synthesis and Translation; Creating Implementation Infrastructure, Program Monitoring) of implementing the Zero Suicide (ZS) model and associated culturally competent, evidence-based (EB) suicide prevention/intervention trainings. The goals/measurable objectives are to: 1) Develop partnerships/capacity to promote/train state, regional, and local leaders in the ZS model and revise policies, procedures, and organizational cultures; 2) Develop a confident/ competent workforce (administrators/frontline professionals) to identify, assess, manage, treat, and follow-up with high-risk adults by providing EB adult gatekeeper skills training (QPR), LINC to Life Safety Planning (L2L) training, Suicide Risk Assessment and Management (SRAM) training, training on Dialectical Behavioral Treatment (DBT) for treating suicidal clients, and care coordination training (Linking Individuals Needing Care, LINC); 3) Increase the utilization of EB screening and assessments to improve identification of suicide risk and behavioral health problems (including serious mental illness [SMI]) in high-risk adults; 4) Increase/enhance policies, protocols, and trainings that address suicide care management pathways from identification, to safety planning, to appropriate referrals/linkage for high-risk adults; 5) Conduct focus groups with high-risk populations and health and behavioral health administrators to develop social awareness messaging that will be disseminated and used to increase knowledge, intentions, and utilization of EB services and treatment for suicidal individuals; 6) Enhance the facilitation of rapid and coordinated referrals, linkages, and follow-up care for high-risk adults by trained mobile crisis teams; and ultimately 7) Improve clinical (e.g. mental health/substance abuse, suicide ideation/ attempts symptoms, deaths), adaptive (e.g. coping skills, functioning), and service utilization outcomes for high-risk age 25+ adults (e.g. veterans) at risk for suicide and experiencing behavioral health (including substance abuse addictions), SMI, and socioeconomic/ employment/health disparities within rural and urban catchment areas (15 high-need counties) of targeted health and behavioral health systems, including emergency departments, behavioral health organizations, Department of Health clinics, Veterans Health Administration (VHA) clinics, etc. Through the partnership between the University of Central Florida, University of South Florida, Office of Substance Abuse and Mental Health, Statewide Office of Suicide Prevention, Florida Behavioral Health Association, Department of Health, VHA, regional managing entity networks, and behavioral health organizations, Florida will train 1,100 persons/year and 5,470 persons over the 5 years of the project, serve 130 high-risk clients/year and 650 persons over the entire project, and over 8,000 individuals will be exposed to suicide prevention social awareness messages.