SAMHSA: Cooperative Agreements to Implement Zero Suicide in Health Systems

The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS), is accepting applications for Cooperative Agreements to Implement Zero Suicide in Health Systems program.

Donor Name: Substance Abuse and Mental Health Services Administration (SAMHSA)

State: All States

County: All Counties

U.S. Territories: Guam, American Samoa, Commonwealth of the Northern Mariana Islands, U.S. Virgin Islands, Commonwealth of Puerto Rico

Type of Grant: Grant

Deadline: 05/08/2023

Size of the Grant: Up to $700,000

Grant Duration: Up to 5 years


The purpose of this program is to implement the Zero Suicide intervention and prevention model for adults throughout a health system or systems. The Zero Suicide model is a comprehensive, multi-setting approach to suicide prevention in health systems. Award recipients will be expected to implement all seven elements of the Zero Suicide framework: Lead, Train, Identify, Engage, Treat, Transition, and Improve; and incorporate principles of health equity within the framework. With this program, SAMHSA aims to reduce suicide ideation, suicide attempts, and deaths due to suicide.

This Zero Suicide model is based on foundational principles that include:

  • the belief and commitment that suicide can be eliminated by improving service access and quality;
  • taking systematic steps across systems of care to create a culture that no longer finds suicide acceptable;
  • setting achievable goals to eliminate suicide attempts and deaths and organizing service delivery and support accordingly; and
  • adopting practices that research shows reduce suicide deaths and behaviors and that are delivered through the entire system of care and that emphasize productive client staff interactions.

Allowable Activities

Allowable activities are an allowable use of funds but are not required. Allowable activities may include:

  • Participate in SAMHSA-specific and/or the Department of Health and Human Services (HHS)-wide Zero Suicide Learning Collaboratives to facilitate the HHSwide suicide prevention implementation goal of translating research to practice across HHS agencies (National Institute of Mental Health (NIMH), SAMHSA, Health Resources Services Administration (HRSA), Indian Health Services (IHS).
  • For state award recipients, work with the state mental health authority to link to the state’s Mental Health Block Grant 5 percent crisis set-aside to support evidence-based crisis systems.
  • Participate in the Zero Suicide Institute (ZSI)’s national data collection effort.
  • Work with the Veterans Health Administration (VHA) and community-based outpatient clinics, state departments of veteran affairs, and national SAMHSA and Veterans Administration (VA) suicide prevention resources to engage and intervene with veterans at risk for suicide but not currently receiving VA services.
  • Develop and implement tobacco cessation programs, activities, and/or strategies.
  • Provide activities that address behavioral health disparities and the social determinants of health.
  • Implement efforts aligned to the award that may expand diversity, equity, inclusion, and accessibility.
  • Use data to understand who is served and disproportionately served (e.g., overserved or underserved).
  • Develop and implement outreach and referral pathways that engage/target all demographic groups representative of your community.

Funding Information

  • Estimated Total Available Funding: $12,035,974
  • Estimated Award Amount:
    • Up to $700,000 per year for states, the District of Columbia, and territories.
    • Up to $400,000 per year for tribes, tribal organizations, community-based primary care or behavioral health care organizations; emergency departments; other local public health agencies.

Project Period

Up to 5 years

Eligibility Criteria

Eligibility is statutorily limited to community-based primary care or behavioral health care settings; emergency departments; State mental health agency (or State health agency with mental or behavioral health functions); public health agency; territory of the United States; or Indian tribe or tribal organization (as the terms “Indian tribe” and “tribal organization” are defined in section 5304 of the title 25).

Recipients that received funding in FY 2020 and FY 2021 under the Grants to Implement Zero Suicide in Health Systems NOFO (SM-20-015) are not eligible to apply.

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