Opportunity Information: Apply for HHS 2018 IHS ZCI 0001

The Zero Suicide Initiative is a discretionary cooperative agreement offered by the U.S. Department of Health and Human Services through the Indian Health Service (IHS). Its main goal is to strengthen the overall system of care for people at risk of suicide by helping Indian health systems put a comprehensive, culturally informed, multi-setting suicide prevention approach into practice. In practical terms, the opportunity is designed to move suicide prevention beyond isolated trainings or single programs and instead embed safer, more consistent suicide care practices across clinical and community-connected settings that serve American Indian and Alaska Native (AI/AN) people.

This funding represents a continuation of IHS work to bring the Zero Suicide framework to Indian Country. Prior IHS efforts emphasized training, technical assistance, and consultation with several pilot AI/AN Zero Suicide communities. Those early implementation efforts helped clarify what tends to work well in these settings, as well as the real barriers that can appear when applying a standardized model in diverse tribal communities. Building on those lessons, this award focuses applicants on implementing the core "Seven Elements" of the Zero Suicide model, as developed by the Suicide Prevention Resource Center (SPRC), while ensuring the approach is culturally grounded and practical for Indian health systems.

The Seven Elements that structure the work are: Lead, Train, Identify, Engage, Treat, Transition, and Improve. "Lead" emphasizes creating a leadership-driven, safety-oriented organizational culture that is openly committed to dramatically reducing suicide among people receiving care. A key expectation is including survivors of suicide attempts and survivors of suicide loss in leadership and planning roles, so the work is informed by lived experience and shaped with community voice. "Train" focuses on building a workforce that is not only skilled but also confident and compassionate, ensuring staff across roles are prepared to recognize risk, respond appropriately, and follow consistent care pathways. "Identify" requires systematic methods to screen for and assess suicide risk among people receiving services, with the intent of reducing missed opportunities for early detection. "Engage" centers on making sure every person has a timely, adequate pathway to care that fits their needs, including collaborative safety planning and efforts to reduce access to lethal means when risk is elevated. "Treat" calls for the use of effective, evidence-based treatments that directly target suicidal thoughts and behaviors, rather than only addressing related conditions indirectly. "Transition" highlights the importance of continuous contact and support, particularly after acute care episodes, when risk can remain high and people can otherwise fall through the cracks. Finally, "Improve" requires a data-driven quality improvement approach, using measurement and feedback to guide system changes and strengthen outcomes over time.

Eligibility is aimed primarily at federally recognized Native American tribal governments and Native American tribal organizations, with additional eligible applicants referenced in the opportunity materials. The program is listed under CFDA 93.933. The funding opportunity number is HHS 2018 IHS ZCI 0001, and it was created on August 28, 2017 with an original closing date of October 12, 2017. IHS expected to make about five awards, with an award ceiling of up to $400,000 per award. As a cooperative agreement, recipients should expect substantial involvement from the federal program office compared with a typical grant, often through collaboration, guidance, and shared implementation support to help ensure the Zero Suicide elements are adopted effectively within the realities of Indian health systems.

  • The Department of Health and Human Services, Indian Health Service in the health sector is offering a public funding opportunity titled "Zero Suicide Initiative" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.933.
  • This funding opportunity was created on Aug 28, 2017.
  • Applicants must submit their applications by Oct 12, 2017. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $400,000.00 in funding.
  • The number of recipients for this funding is limited to 5 candidate(s).
  • Eligible applicants include: Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Others (see text field entitled Additional Information on Eligibility for clarification).
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