Preventing Suicidal Behavior With Diverse High-Risk Youth in Acute Care Settings

Inclusion Criteria:

* Suicide Risk During Acute Care Visit (At least one item must apply: Chief complaint of suicide-related concern, Active suicidal ideation endorsed in past 1 month on validated suicide screener, Suicidal behavior in the past 3 months on validated suicide screener, and/or Clinician indicated SI in past month or SA in past 3 months).
* Have access to a cellular phone with the ability to receive phone calls and text messages over the 12-month follow- up period
* Adolescent must be verbally fluent and can communicate, understand, and read in either English or Spanish
* Adolescent has been/will be discharged from a higher level of care (i.e. inpatient, day hospital, partial hospitalization program (PHP), or residential treatment program) and back in the community within 4 weeks of the acute care visit.

Exclusion Criteria:

* Significant cognitive or developmental delays that prevent understanding or using SPI+ or IPT-A-SCI (includes inability to communicate verbally)
* Altered mental status (acute psychosis, intoxication, or mania)
* Unable or unwilling to provide informed consent (adults), assent (minors), or permission (parents/caregivers)
* The services offered through the study are not in the best clinical interest of the patient (e.g., presenting problem requires a different level of care or treatment approach).