Funds will be used to implement evidence-based suicide prevention strategies in community based behavioral health facilities, primary care settings, and in hospital based emergency departments. This project will further enhance and refine the state's suicide prevention care pathway in behavioral health, primary care, and hospital emergency service settings. Project goals are to: (1) Increase suicide prevention and treatment capacity and implementation within behavioral health settings; (2) Increase suicide prevention and treatment capacity and implementation within hospital settings statewide; (3) Increase the number of adults at risk of suicide who are identified and receive suicide prevention competent mental health services; (4) Increase the number of effective and evidence-based clinical suicide prevention, identification and treatment practices implemented; and, (5) Improve and expanded suicide surveillance systems. This proposed project will extend prevention and treatment services to all 77 counties through the state's 14 community mental health centers (CMHCs), and to 6,000 practicing primary care physicians and 83 emergency rooms. The CMHCs will train clinicians in Collaborative Assessment and Management of Suicidality (CAMS), Applied Suicide Intervention Skills Training (ASIST) and Question, Persuade, Refer (QPR), and will enhance Electronic Health Record systems to include a suicide prevention care pathway.