Level	Implementation of safety planning and lethal means reduction
Informal coordination	PCPs and nursing staff become adept at creating safety plans with patients who screen as at risk but not at imminent risk (72). PCPs and nursing receive training such as CALM on counseling to reduce access to lethal means and practice these conversations.
Co-location	Consider if behavioral health colleagues will regularly train co-located PCPs and nursing regarding safety planning and lethal means reduction; consider CALM training for both PCPs/nursing staff and behavioral health colleagues.
Integration	Behavioral health staff are available for safety planning and lethal means reduction for patients when needed. PCPs and nursing should also be knowledgeable about how to do this if behavioral health staff are not available. Consider CALM training for all patient-facing clinical staff (medical and behavioral health).