The Choctaw Nation of Oklahoma (CNO) is committed to preventing and reducing suicide behavior, substance abuse, and the impact of trauma by promoting improved mental health among the American Indian/Alaska Native (AI/AN) youth residing in the boundaries of the CNO. We propose to accomplish this by launching Project Embrace, an initiative aimed at developing strategies to: 1) reduce the impact of mental and substance use disorders; 2) establish a fast and culturally based response to any suicide intent; and 3) increase the efficacy of the surveillance of suicide, suicide attempts, and mental health challenges in an effort to better support and serve AI/AN youth and young adults up through the age of 24. Four counties within the CNO's service area of 10 1/2 counties will be targeted for this project. These four counties fall within the top 10% of highest suicide rates in the state of Oklahoma. Our vision for healthier youth will be implemented using community driven and culturally based strategies: a) that focus on all young people through age 24, regardless of risk of suicide and substance use and misuse; b) that focus on subgroups of young people through age 24 for whom suicide or substance use and misuse may be much higher than average; and c) that are designed for young people through age 24 who are at high risk for suicide or substance use and misuse, who have already attempted suicide, and/or who are using or misusing substancesProject Embrace will be grounded in the concepts of Community Readiness and it is anticipated that we will complete a Community Readiness Assessment, an assessment of our service delivery system, train Emergency Department and clinic staff in QPR for nurses and other providers, utilize QPR, ASIST and other evidence based curricula as identified by the community in the Strategic Action Plan. It is expected that we will reach approximately 12,000 youth in the four county area over the course of the five year grant.