Ohio Comprehensive Suicide Prevention Program - The Ohio Department of Health (ODH), Violence and Injury Prevention (VIPS) and Violence and Injury Epidemiology and Surveillance (VIESS) Sections propose a five-year project to build comprehensive approaches to suicide prevention utilizing the public health approach. Between 2007-2018, the national suicide rate increased 26% (11.3 to 13.8 per 100,000), while the suicide rate among Ohioans increased 42% (10.8 to 15.3 per 100,000). While Ohio is the seventh most populous state, it has the fifth highest number of suicide deaths in the country. Suicide is the second leading cause of death among Ohioans 10-14 years of age, the third leading cause of death among Ohioans 15-34 years, and the fourth leading cause of death among Ohioans 35-44 years. In 2020, nearly 4 out of 5 suicide deaths were among males (81%). Moreover, nearly half (47%) of all suicide deaths occurred among males 25-59 years of age. The suicide rate among this group is higher than the national rate among males 25-59 years (30.1 vs 28.1 per 100,000) and more than double that of the overall Ohio suicide rate (30.1 vs. 13.8 per 100,000). For this reason, ODH will target residents of counties with the highest rate and burden of suicide as a mechanism to improve the overall outcome for the state by implementing tier 1-3 strategies in the disproportionally affected populations (DAP) selected for this application: youth ages 10-24 and males 25-59. The purpose of the proposed application is two-fold, utilizing multiple data sources to prioritize resources and evaluate efforts for ODH to reduce by 10% the suicide mortality and morbidity in the identified DAPs: 1) facilitate creation and implementation of a comprehensive suicide prevention plan for youth ages 10-24 utilizing both state and local level strategies; and 2) utilize existing plans and partnerships to implement targeted strategies that fill gaps for prevention efforts focused on males ages 25-59, resulting in comprehensive approaches to suicide prevention utilizing the public health approach; and Key strategies include: Strategy 1a-Create and implement a coordinated multi-sectoral plan(s). Strategy 1b-Utilize surveillance data to identify DAP and contributors to suicide morbidity and mortality in DAP. 1c-Create and maintain an inventory of existing suicide prevention programs ongoing in the jurisdictions and identify prevention gaps. Strategy 1d-Select and implement strategies/approaches from the CDC suicide prevention technical package. Strategy 1e-Develop and implement communication and dissemination plans related to surveillance and programmatic work. Strategy 2-Ongoing Implementation and evaluation of the comprehensive approach (1 a-e above). Key outcomes include Long-term: The overall number of suicide deaths among Ohioans will be reduced by 10% from 1,642 to 1,478. *The number of suicide deaths among Ohio youth ages 10-24 will be reduced by 10% from 247 to 222. *The number of suicide deaths among Ohio males 25-59 will be reduced by 10% from 775 to 698. * The number of suspected suicide attempts among Ohioans will be reduced by 10% from 12,391 to 11,152. *The number of suspected suicide attempts among Ohio youth ages 10-24 will be reduced by 10% from 6,622 to 5,960. *The number of suspected suicide attempts among Ohio males ages 25-59 will be reduced by 10% from 2,399 to 2,159. * The number of suspected suicide attempts, death rates, number of fatalities will be reduced by 10% among youth ages 10 – 24 and males ages 25 – 59 in counties implementing comprehensive approaches, baselines TBD. Medium-Term: decreased risk and increased protective factors for youth ages 10-24 and males age 25-59 at the state and local levels, baselines TBD. Short-term outcomes are addressed in the Evaluation and Performance plan section.