Appendix 1.

Select tools for primary care practices.

Resource	Focus	Website	Funding
Suicide Prevention Resource Center	Policy and practice Toolkit for Primary Care Practices: Modules and practical resources for (1) getting started; (2) educating clinicians and office staff; (3) developing mental health partnerships; (4) patient management tools; (5) state resources, policy, and reimbursement; (6) health provider self-care; (7) patient education tools/resources	SPRC.org/settings/ primary-care	Housed at the University of Oklahoma Health Sciences Center, grants from the U.S. Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS), under Grant No. 1H79SM083028-01
Zero Suicide	System wide organizational framework for safer suicide care Toolkit for systems leaders: lead, train, identify, engage, treat, transition, improve Resources particularly for integrated primary care settings	https://zerosuicide.edc.org/resources/settings/integrated-primary-care-and-behavioral-health	Education Development Center, the Suicide Prevention Resource Center, and the National Action Alliance for Suicide Prevention Funded by Universal Health Services (UHS), the Zero Suicide Institute at EDC, and the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (DHHS) (grant 1 U79 SM0559945)
Ask Suicide Screening Questions (ASQ)	Screening and treatment flow diagrams for outpatients ages 10–24 Approved by the Joint Commission for use in all ages	https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials	NIMH
The Lighthouse Project (formerly Center for Suicide Risk Assessment)	Columbia-Suicide Severity Rating Scale (C-SSRS) Screening with triage points for primary care settings Patients age 12+ C-SSRS also has an assessment tool that can be used by integrated mental health providers	https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/healthcare/	The Research Foundation for Mental Hygiene Inc. Not for profit organization founded to help the New York State Department Office of Mental Health
Counseling on Access to Lethal Means (CALM Course)	Reducing access to lethal means like firearms and medication Free online course to (1) identify people who could benefit (2) ask about their access to lethal means (3) work with people and families to access mental health professionals and health care providers	https://www.sprc.org/resources-programs/calm-counseling-access-lethal-means	2015–2020 Suicide Prevention Resource Center Grant No. 5U79SM062297, awarded to EDC by the U.S. Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS)
AIMS Center Protocols for Suicide Prevention in Primary Care	Protocol and workflow for suicidality response in clinics Empower staff to know what to do Keep patients/staff safe Follow up includes regularly tracking patients with risk, following up, and reviewing safety plans in the EMR	https://aims.uw.edu/resource-library/suicide-prevention-protocol	University of Washington Psychiatry and Behavioral Sciences