Stepped Approach to Reducing Risk of Suicide in Primary Care

Inclusion Criteria (Youth and Parent): * All patients between the ages of 12 - 17 years and their parent/guardian at time of consent who are identified as being at risk for suicide and receive primary care services at one of 14 participating sites are eligible for study inclusion. * Youth will be recruited without regard to current or past histories of mental health problems. * Youth with comorbid physical illness (e.g., asthma) and those receiving medication treatment for a comorbid physical or psychiatric condition will be eligible to participate provide they otherwise meet study entry criteria. Inclusion Criteria (Provider): * Providers must work with patients at one of the participating PCCs. Exclusion Criteria (Youth and Parent): Subjects will be excluded for being: * medically or cognitively unable to participate in study procedures * without permanent residence or access to a telephone * unable to speak English adequately to understand study procedures Exclusion Criteria (Provider): * Unable to give consent * Unable to speak English adequately to understand study procedures.