Project Grant H79SM091076

The Department of Health and Human Services Substance Abuse and Mental Health Services Administration awarded the Northwest Portland Area Indian Health Board $735,000 on September 30, 2026, under the Center for Mental Health Services Projects of Regional and National Significance program (CFDA 93.532) to implement the NPAIHB THRIVE (Tribal Health: Reaching Out Involves Everyone) suicide prevention initiative.

The THRIVE project will develop and deploy suicide risk response systems for tribal youth across the Northwest, including screening, assessment, treatment, and case management services. The initiative will conduct youth conferences and skill-building trainings incorporating lethal means safety planning and evidence-based practices rooted in tribal traditions. The project will generate social media messages and suicide prevention marketing materials, with five-year targets of reaching 200 tribal youth at conferences, 400 attendees in skill-building trainings, 20,000 people through media campaigns, and 600 tribal youth aged up to 24 years old for screening, assessment, treatment, and case management services.

NPAIHB serves 43 federally recognized tribes across Idaho, Oregon, and Washington, where tribal suicide rates run approximately 7 percent higher than overall regional rates and only 10 to 35 percent of tribal youth and adolescents seek professional mental health services during suicidal episodes. Work is performed in Portland, Oregon. The award runs through September 29, 2031.