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Zero Suicide Initiative

Agency: Indian Health Service

Assistance Listings: 93.654 -- Indian Health Service Behavioral Health Programs

Last Updated: May 13, 2026

The purpose of this program is to improve the system of care for those at risk for suicide by implementing a comprehensive, culturally informed, multi-setting approach to suicide prevention in Indian health systems. This award represents a continuation of the Indian Health Service (IHS) effort to implement the Zero Suicide approach in Indian Country. The intent of this announcement is to initiate a new, or build upon the previous, Zero Suicide Initiative efforts. Existing efforts have focused on foundational learning of the key concepts of the Zero Suicide framework, technical assistance, and consultation for several American Indian/Alaska Native (AI/AN) Zero Suicide communities. As a result of these efforts, both the unique opportunities and challenges of implementing Zero Suicide in Indian Country have been identified. To best capitalize on opportunities and surmount such challenges, this program focuses on the core Seven Elements of the Zero Suicide model as developed by the Suicide Prevention Resource Center (SPRC) at https://zerosuicide.edc.org/toolkit/zero-suicide-toolkit: 

1.   Lead – Create and sustain a leadership-driven, safety-oriented culture committed to dramatically reducing suicide among people under care. Include survivors of suicide attempts and suicide loss in leadership and planning roles;

2.   Train – Develop a competent, confident, and caring workforce;

3.   Identify – Systematically identify and assess suicide risk among people receiving care;

4.   Engage – Ensure every individual has a pathway to care that is both timely and adequate to meet his or her needs. Include collaborative safety planning and restriction of lethal means;

5.   Treat – Use effective, evidence-based treatments that directly target suicidal thoughts and behaviors;

6.   Transition – Provide continuous contact and support, especially after acute care; and,

7.   Improve – Apply a data-driven, quality improvement approach to inform system changes that will lead to improved patient outcomes and better care for those at risk.

Eligibility

Eligible applicants

Nonprofit

  • Other Native American tribal organizations

Miscellaneous

  • Other

Government

  • Federally recognized Native American tribal governments

Additional information

To be eligible for this funding opportunity the applicant must be one of the following as defined by 25 U.S.C. 1603:• A federally recognized Indian Tribe as defined by 25 U.S.C. 1603(14). The term "Indian Tribe" means any Indian Tribe, band, nation, or other organized group or community, including any Alaska Native village or group or regional or village corporation, as defined in or established pursuant to the Alaska Native Claims Settlement Act (85 Stat. 688) [43 U.S.C. 1601 et seq.], which is recognized as eligible for the special programs and services provided by the United States to Indians because of their status as Indians. • A Tribal organization as defined by 25 U.S.C. 1603(26). The term "Tribal organization" has the meaning given the term in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 5304(1)): "Tribal organization means the recognized governing body of any Indian Tribe; any legally established organization of Indians which is controlled, sanctioned, or chartered by such governing body or which is democratically elected by the adult members of the Indian community to be served by such organization and which includes the maximum participation of Indians in all phases of its activities: provided that, in any case where a contract is let or grant made to an organization to perform services benefiting more than one Indian Tribe, the approval of each such Indian Tribe shall be a prerequisite to the letting or making of such contract or grant. Applicant shall submit letters of support and/or Tribal Resolutions from the Tribes to be served.• An Urban Indian organization as defined by 25 U.S.C. 1603(29). The term "Urban Indian organization" means a nonprofit corporate body situated in an urban center, governed by an urban Indian controlled board of directors, and providing for the maximum participation of all interested Indian groups and individuals, which body is capable of legally cooperating with other public and private entities for the purpose of performing the activities described in 25 U.S.C. 1653(a). Applicants must provide proof of non-profit status with the application, e.g., 501(c)(3).

Grantor contact information

Description

Paul E. Gettys, III Acting Director Phone 301-443-2114

Email

Division of Grants Management

paul.gettys@ihs.gov

Documents

File nameDescriptionLast updated
Application_Instructions_2022_ZSI-0001_New.pdf
ZSI application instructions
Nov 4, 2021 02:57 PM UTC
HHS-2022-IHS-ZSI-0001.pdf
ZSI funding announcement
Nov 4, 2021 02:56 PM UTC

Link to additional information

Full Notice of Funding Opportunity published in the Federal Register

Archived: March 4, 2022

Application process

This site is a work in progress. Go to www.grants.gov to apply, track application status, and subscribe to updates.

Award

$2,000,000

Program Funding

8

Expected awards

$200,000

Award Minimum

$300,000

Award Maximum

Funding opportunity number:

HHS-2022-IHS-ZSI-0001

Cost sharing or matching requirement:

No

Funding instrument type:

Cooperative agreement

Opportunity Category:

Discretionary

Opportunity Category Explanation:

--

Category of Funding Activity:

Health

Category Explanation:

--

History

Version:

1

Posted date:

November 4, 2021

Archive date:

March 4, 2022

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