The purpose of this study is to evaluate the utility of the Coping Long Term with Active Suicide Program (CLASP) for reducing suicidal behavior.

Inclusion Criteria:

1. Current patient at Butler Hospital
2. Suicide attempt or suicidal ideation with intent to make a suicide attempt within 48 hours of hospitalization as indicated on the hospital chart and confirmed by administration of the C-SSRS
3. Age > 18 years
4. Have a reliable telephone
5. Ability to speak, read, and understand English well to complete the procedures of the study

Exclusion Criteria:

1. Current psychotic symptoms severe enough to impair study participation
2. Participation in a treatment program with established efficacy in preventing suicidal behavior
3. Cognitive impairment which would interfere with adequate participation in the project (MMSE< 20).

4. Currently in state custody or pending legal action 5. Already enrolled current or previous CLASP trial