Open enrollment study to collect data for the optimization of machine learning models for use in an app for the early detection of mental health and suicidal risk.

Inclusion Criteria:

• Currently a client receiving services from a MHP at a school or outpatient setting, or at a college/university counseling center
• Age ≥ 8 years old
• Able to provide informed consent, parental permission or assent
• English as a primary language

Exclusion Criteria:

• Participants with communication disorders (linguistic or articulation)
• Any minor participants for whom parental or legal guardian consent cannot be obtained.
• Any adult participant for whom Legal Authorized Representative (LAR) consent cannot be obtained.
• History of any other serious medical or psychiatric condition that would interfere with the ability of the patient to complete the study or would make it ethically unfeasible to enroll them
• Participants with an intellectual and / or neurocognitive disability that the MHP deems a barrier to participation
• Any participant, who at the discretion of the MHP, should not be enrolled

The study employs a cohort design, using open and rolling recruitment of MHP participants at multiple locationssites nationally. We will recruit from mental health therapy practices, schools (using school based MHPs), community mental health agencies, or colleges/universities (counseling centers). Participating MHPs will begin enrolling client participants after completing the online protocol training and brief human subject's protection training. Recruitment will continue on a rolling basis until 2000 client participants have been enrolled and 6000 sessions have been recorded.