Project Zero Suicide - Burrell Behavioral Health (Burrell) requests $2,000,000 to improve and enhance implementation of our existing system wide Zero Suicide Model and partner with Preferred Family Healthcare (PFH) to improve their suicide response as joint venture health system. Chosen subpopulations of focus will include men over 18 years and the LGBTQIA+ population across the geographic catchment area. Burrell's internal data indicates possible barriers to men and minorities being enrolled on the Supportive Care Pathway implemented in 2022; studies show this is due to lack of understanding about to access professional services, a lack of education around self-help and coping mechanisms and stigma around mental illness. This project is expected to serve 400 individuals annually for a total of 2,000 individuals throughout the life of the project. Burrell's Zero Suicide Cooperative will use the following strategies to implement the required activities: 1) Utilize current processes, procedures and historical knowledge to improve upon the existing seven elements of the Zero Suicide Framework; 2) Utilize evidence based informed communication and safe messaging throughout Burrell and PFH to build Zero Suicide culture and buy-in; 3) Work alongside SAMHSA in a cooperative agreement to make changes in our joint health system. The project objectives include: 1) Utilize the organizational and workforce survey to improve Burrell's Zero Suicide Framework taking systematic steps across our organization to create a culture that no longer finds suicide acceptable; 2) Improve Burrell's Supportive Care Pathway so that all individuals at risk of suicide are engaged using a suicide care management plan; 3) Develop and implement a training program, that includes EBP's for the clinical workforce who are in frequent contact with individuals who are at risk or suicidal; 4) Improve overall engagement of clients who are on the Supportive Care Pathway while working with Suicide Prevention Liaisons. As Missouri's second-largest Certified Community Behavioral Health Organization, Burrell serves three distinct geographic catchment areas encompassing 18 counties in southwest, central and western Missouri. The project GCA population exceeds 1,500,000, or over one in four Missourians. 100% of the counties are designated mental health and primary care professional shortage areas and 72% are designated Medically Underserved Areas and Communities. Congressional districts benefitting are Missouri's districts MO-004-MO-007. The top 10 languages spoken in this area include: English, Spanish, German, Chinese, African Languages, Vietnamese, Other Germanic Languages, French, Russian and Tagalog.