NIMH Clinical Pathway in Rural Appalachian School-based Health Clinics

This study will adapt and evaluate an evidence-based suicide risk screening and follow-up program in two school-based health centers in West Virginia. The suicide screening program is titled the "NIMH Clinical Pathway" and provides tools and procedures for routinely screening adolescents for suicide risk, completing risk assessments, safety planning, lethal means restriction, follow-up referrals, and other disposition planning as appropriate. Investigators aim to do the following: 1. Gather formative data from providers, parents, and youth to inform ways to adapt and implement the NIMH Clinical Pathway so that it can be effectively implemented in rural, Appalachian School-Based Health Centers (SBHCs). 2. Gather preliminary data regarding the feasibility, acceptability, and effectiveness of the adapted intervention.

Inclusion Criteria: * Youth who are receiving services at the school-based health centers to participate * Parents must be able to give legal consent for themselves and their children to participate * Youth and Parent must be English-speaking * Youth must also be able to give signed assent to participate * Youth must be cognitively and medically able to participate in study activities Exclusion Criteria: * Youth in state custody will be excluded from study participation due to challenges related to obtaining legal consent.