Community Based Youth Suicide Prevention in Iowa - Summary: Built on the foundation of existing suicide prevention efforts, the Community Based Youth Suicide Prevention in Iowa Project (CBYSP Iowa) will enhance and expand suicide prevention, intervention, and postvention strategies and services for Iowa youth who are 10 to 24 years old. CBYSP Iowa will increase the implementation, at the local level, of evidence-based practices for screening, assessing, referring to treatment, and providing follow-up care. Number and Populations to be Served: CBYSP Iowa will serve Iowa's 1,039,415 youth and transition aged youth (TAY) 10 to 24 years old, paying special attention to young people who face discrimination because of their gender, race and sexual orientation. In Iowa, suicide is the ninth leading cause of death among citizens of all ages but is the third leading cause of death for youth 10 to 14 years old and the second leading cause of death for 15-24 year old TAY. CBYSP Iowa will (a) enhance and expand suicide prevention, intervention and postvention strategies and services in three Iowa counties with demonstrated need, and (b) reach all youth through a statewide media campaign that promotes the 988 Suicide and Crisis Lifeline. Additionally, at least 800 providers will receive evidence-based gatekeeper training; at least 400 providers will participate in the Best Practice in Youth Suicide Prevention Summit; and at least 85% of clinical staff who work with youth will receive evidence-based suicide intervention training. Goal 1. Increase the number of staff of youth-serving organizations able to work with youth at risk of suicide by strengthening the capacity to screen and identify at-risk youth. Objective: At least 800 school staff and other gatekeepers (i.e., childcare professionals, foster parents, juvenile justice staff, and staff from other youth serving organizations) will complete LivingWorks Start or other evidence-based gatekeeper trainings. Objective: Selected CBHOs in three counties of high need will implement suicide screening protocols and procedures and report a statistically significant increase in the number of youth screened for suicide risk and treated and/or referred for services. Goal 2. Increase the capacity of clinical service providers to assess, manage, treat, and provide continuity of care and follow up for youth and TAY at risk of suicide Objective: Build connections across the state and disseminate training opportunities including those offered by NAMI Iowa, CDC guidelines, SAMHSA toolkits, resources such as, AFSP postvention materials, suicide loss support and crisis resource information. Objective: Implement the annual Best Practice in Youth Suicide Prevention Summit to share evidence-based practices. At least 400 providers will participate by the end of the grant. Objective: At least 85% of clinical staff from designated hospitals, mental health and substance use disorder treatment organizations, and other youth serving organizations will attend Assessing and Managing Suicide Risk (AMSR), Collaborative Assessment and Management of Suicidality (CAMS), Counseling on Access to Lethal Means (CALM), ASIST or other IDPH approved evidence-based suicide intervention training. Goal 3. Reduce the number of 10 to 24 year olds attempting or dying by suicide by improving the continuity of care and follow-up and increasing the number of youth/TAY who access and use suicide prevention services through the 988 Suicide and Crisis Lifeline. Objective: Designated hospitals will provide at least 100 referrals to the Your Life Iowa (YLI) Follow-up Coordinator for follow-up care for youth at risk of suicide. Objective: CBYSP Iowa will launch a statewide youth suicide prevention awareness campaign to promote the 988 Suicide and Crisis Lifeline and increase the use of the 988 Suicide and Crisis Lifeline via call, text, or chat by 10 to 24 year olds by at least 10