Zero suicide at endeavor (ZSAE) will implement the zero suicide framework across endeavor health's primary care practices and emergency departments in cook and lake counties, illinois, to strengthen…

The Department of Health and Human Services Substance Abuse and Mental Health Services Administration awarded Endeavor Health Clinical Operations $774,368 on September 30, 2026, to implement the Zero Suicide Framework across Endeavor Health's primary care practices and emergency departments in Cook and Lake Counties, Illinois, under the Center for Mental Health Services Projects of Regional and National Significance program (CFDA 93.532).

The project will screen approximately 89,500 patients and provide suicide-specific treatment to at least 1,000 individuals at risk through standardized screening, comprehensive assessment, centralized triage, and expedited referrals. Evidence-based interventions include Collaborative Assessment and Management of Suicidality and Cognitive Behavioral Therapy for Suicide Prevention. Workforce training, fidelity monitoring, and outcomes tracking will support implementation. Expected outcomes include expanded suicide screening capacity, improved access to evidence-based treatment, timely follow-up care, enhanced crisis care coordination, and reduced suicide risk across the health system.

Performance takes place in Evanston, Illinois, with a period of performance through September 29, 2031. Endeavor Health Clinical Operations, doing business as Evanston Hospital, is a tax-exempt nonprofit hospital system headquartered in Evanston that operates research and clinical implementation programs focused on population health and clinical outcomes.

Zero suicide at endeavor (ZSAE) will implement the zero suicide framework across endeavor health's primary care practices and emergency departments in cook and lake counties, illinois, to strengthen suicide prevention for adults. The project will screen approximately 89,500 patients and provide suicide-specific treatment to at least 1,000 individuals at risk through standardized screening, comprehensive assessment, centralized triage, expedited referrals, and evidence-based interventions including collaborative assessment and management of suicidality and cognitive behavioral therapy for suicide prevention. Workforce training, fidelity monitoring, and outcomes tracking will support implementation. Expected outcomes include expanded suicide screening, improved access to evidence-based treatment, timely follow-up, enhanced crisis care, and reduced suicide risk across the health system.