Clinical Research Directory

Inclusion Criteria: There are two Inclusion criteria: * Moderate to high suicide risk according to one of the following occurring in the prior 3 months: * a completed Comprehensive Suicide Risk Evaluation (CSRE) indicating intermediate or high acute or chronic risk * a high-risk suicide PRF * a suicide attempt indicated on a Suicide Behavior or Overdose Report (SBOR) * a suicide safety plan completed in the past 6 months AND * Current suicidal ideation according to the 9th item of the Patient health questionnaire (PHQ-9) \> 0 at enrollment * While a positive 9th item usually precedes the CSRE, because the CSRE could have been administered in the 3 months prior to enrollment, the purpose of requiring a positive 9th item is to ensure more recent suicidal ideation. * It may be more difficult to show an intervention effect if the investigators enroll participants with no suicidal ideation at baseline. Exclusion Criteria: * Inability to provide informed consent for any reason, including due to acute psychosis or mania, dementia, or active guardianship or durable power of attorney * These criteria will be determined according to medical record review and, if clarification needed, consultation with a treating provider. * The investigators will also screen for decision-making capacity using the Blessed Orientation, Memory, Concentration (BOMC) Test and a brief quiz about the study. * This quiz will involve an iterative process of querying the participants' understanding of consent information with a 10-item true/false test and providing feedback until an acceptable level of understanding is achieved (must get 100% correct after 3 tries to enroll). * Current or planned receipt of residential or intensive outpatient treatment * Plan to transfer or terminate care in the next 3 months * Homicidal ideation in the past 6 months or violent behavior in the past 12 months