The Office of Mental Health (OMH) will advance the National Strategy for Suicide Prevention in New York by promoting suicide prevention as a core component of health care services and by developing and implementing a plan for: 1) Assessment of suicide risks factors, including suicidal thoughts and behavior, presence of mental illness and substance abuse. 2) Provision of suicide specific interventions, structured follow-up and care transition protocols to ensure patient safety by using evidence-based practices and recovery based approaches, which include input from those with lived experience. The target population for this project is adults (ages 25-64) discharged from emergency departments and inpatient units who have attempted suicide or experienced a suicidal crisis, especially those with serious mental illness, substance abuse, a prior suicide attempt and returning veterans. The specific goals of this project are: 1) to advance the National Strategy for Suicide Prevention by forming state and local coalitions that engage each organization's leadership to commit to a "zero suicide" goal by implementing changes in their Core Values & Attitudes, by improving their systems management, and by adopting evidence-based practices. 2) to reduce suicides attempts and deaths by developing rapid follow up using the Assess, Intervene, Monitor (AIM) model and by implementing care transitions protocols that include Peer Bridgers and incorporate efforts to reduce access to lethal means. 3) to elevate suicide identification, intervention and treatment skills among staff and communality organizations persons ages 25-64, including agencies in primary care, mental health, substance abuse, justice, corrections, labor, veterans' affairs; and emergency response teams, including the National Guard.