Opportunity Information: Apply for HHS 2023 IHS ZSICC 0001

The Zero Suicide Initiative Coordinating Center (ZSICC) grant opportunity is a cooperative agreement from the U.S. Department of Health and Human Services, Indian Health Service (IHS), focused on strengthening suicide prevention efforts across Indian health systems. The central goal is to build the capacity of existing Zero Suicide Initiative (ZSI) projects so they can improve the overall system of care for people who may be at risk for suicide. This opportunity emphasizes a comprehensive approach that works across multiple settings (not just one clinic or program) and is culturally informed, meaning implementation should fit the realities, strengths, and needs of Native communities and the systems that serve them.

Under this award, the ZSICC is expected to function as a coordinating and support hub that provides hands-on technical assistance to ZSI projects operating in Indian Country. The assistance is specifically expected to cover practical, operational areas that often determine whether suicide prevention work actually becomes part of routine care: data collection, reporting, training, resource development and sharing, and on-the-ground implementation support. Rather than directly delivering clinical services, the Coordinating Center role is to help participating sites and programs adopt consistent, high-quality practices, build staff capability, and improve system processes so that people at risk are identified earlier, engaged more effectively, and supported through safer care pathways.

A defining feature of the opportunity is that the technical assistance and implementation support must be aligned with the Zero Suicide model, particularly the core Seven Elements developed by the Suicide Prevention Resource Center (SPRC) and documented in the Zero Suicide Toolkit (https://zerosuicide.edc.org/toolkit/zero-suicide-toolkit). In practice, this means the Coordinating Center would be expected to help sites strengthen leadership commitment to suicide prevention, implement trained workforce practices, improve identification and assessment for suicide risk, ensure safer and more evidence-informed care pathways, build better care transitions and follow-up, incorporate continuous quality improvement using data, and support engagement strategies that keep individuals connected to care. The intent is to move suicide prevention from being an added-on activity to becoming an integrated, system-wide standard of care.

The funding opportunity is listed as discretionary and uses a cooperative agreement mechanism, which generally indicates substantial federal involvement during the project period, such as collaboration, guidance, and shared responsibility for key aspects of work. The opportunity is in the health funding activity category and is associated with CFDA number 93.654. IHS expected to make one award, with an award ceiling of $850,000, meaning the maximum amount anticipated for the single selected recipient is up to that level.

Eligibility is broad enough to include multiple organization types that could credibly serve as a national or multi-site coordinating center. Eligible applicants include federally recognized Native American tribal governments, Native American tribal organizations (other than federally recognized tribal governments), public and state-controlled institutions of higher education, private institutions of higher education, 501(c)(3) nonprofit organizations (excluding higher education institutions), and for-profit organizations other than small businesses, along with other entities as clarified in the funding notice. The opportunity was created on February 16, 2023, with an original closing date of April 17, 2023, and is identified by Funding Opportunity Number HHS 2023 IHS ZSICC 0001.

Overall, this grant is designed to accelerate consistent, culturally informed adoption of the Zero Suicide approach across Indian health systems by funding a single Coordinating Center that can standardize tools and reporting, expand training and implementation supports, and help participating programs use data and quality improvement methods to strengthen suicide prevention across the full continuum of care.

  • The Department of Health and Human Services, Indian Health Service in the health sector is offering a public funding opportunity titled "Zero Suicide Initiative Coordinating Center" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.654.
  • This funding opportunity was created on Feb 16, 2023.
  • Applicants must submit their applications by Apr 17, 2023. (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 $850,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For profit organizations other than small businesses, Others (see text field entitled Additional Information on Eligibility for clarification).
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Zero Suicide Initiative Coordinating Center (ZSICC) Grant FAQs

What is the Zero Suicide Initiative Coordinating Center (ZSICC) grant?

The ZSICC grant is a cooperative agreement from the U.S. Department of Health and Human Services (HHS), Indian Health Service (IHS). It funds a single Coordinating Center to strengthen suicide prevention efforts across Indian health systems by building the capacity of existing Zero Suicide Initiative (ZSI) projects.

What is the main purpose of this funding opportunity?

The central goal is to improve the overall system of care for people who may be at risk for suicide by helping existing ZSI projects implement high-quality, consistent, system-wide suicide prevention practices. The intent is to move suicide prevention from an add-on activity to an integrated standard of care across settings.

Is the Coordinating Center expected to provide direct clinical services?

No. The Coordinating Center role is to provide hands-on technical assistance and implementation support to participating ZSI projects. It is meant to help sites improve processes, staff capability, and consistency of practices rather than directly delivering clinical services.

Who is the federal awarding agency for this opportunity?

The awarding agency is the Indian Health Service (IHS) within the U.S. Department of Health and Human Services (HHS).

What type of funding mechanism is used?

This opportunity uses a cooperative agreement mechanism. This generally indicates substantial federal involvement during the project period, including collaboration, guidance, and shared responsibility for key aspects of the work.

What does it mean that this is a discretionary grant?

It is listed as discretionary funding, meaning the award is not an entitlement and is awarded through a competitive or agency-driven selection process based on the funding notice requirements.

How many awards does IHS expect to make?

IHS expected to make one award under this funding opportunity.

What is the maximum award amount?

The award ceiling is $850,000, meaning the maximum amount anticipated for the single selected recipient is up to $850,000.

What is the CFDA number associated with this opportunity?

The opportunity is associated with CFDA number 93.654.

What is the funding activity category?

The opportunity is in the health funding activity category.

What is the Funding Opportunity Number (FON)?

The Funding Opportunity Number is HHS 2023 IHS ZSICC 0001.

When was this opportunity created and when did it close?

The opportunity was created on February 16, 2023. The original closing date was April 17, 2023.

Who is eligible to apply?

Eligible applicants include:

  • Federally recognized Native American tribal governments
  • Native American tribal organizations (other than federally recognized tribal governments)
  • Public and state-controlled institutions of higher education
  • Private institutions of higher education
  • 501(c)(3) nonprofit organizations (excluding higher education institutions)
  • For-profit organizations other than small businesses
  • Other entities as clarified in the funding notice

What does the Coordinating Center do for existing ZSI projects?

The Coordinating Center is expected to function as a coordinating and support hub that provides hands-on technical assistance to ZSI projects in Indian Country, with emphasis on practical operational areas such as:

  • Data collection
  • Reporting
  • Training
  • Resource development and sharing
  • On-the-ground implementation support

What is meant by a "comprehensive approach across multiple settings"?

This opportunity emphasizes suicide prevention work that operates across multiple settings within the system of care (not limited to a single clinic or program). The focus is on strengthening system-wide practices so prevention and safer care pathways are consistent and coordinated.

What does "culturally informed" implementation mean in this grant?

Implementation is expected to fit the realities, strengths, and needs of Native communities and the systems that serve them. In other words, the approach should be aligned with community context rather than applying a one-size-fits-all model.

What framework must the technical assistance align with?

Technical assistance and implementation support must align with the Zero Suicide model, particularly the core Seven Elements developed by the Suicide Prevention Resource Center (SPRC) and documented in the Zero Suicide Toolkit.

What are the Seven Elements the Coordinating Center is expected to support?

Based on the description provided, the Coordinating Center would be expected to help sites strengthen:

  • Leadership commitment to suicide prevention
  • Trained workforce practices
  • Identification and assessment for suicide risk
  • Safer and more evidence-informed care pathways
  • Care transitions and follow-up
  • Continuous quality improvement using data
  • Engagement strategies that keep individuals connected to care

Where can applicants learn more about the Zero Suicide model and toolkit?

The Zero Suicide Toolkit is referenced here: https://zerosuicide.edc.org/toolkit/zero-suicide-toolkit

What kinds of support are emphasized to make suicide prevention part of routine care?

The opportunity highlights operational supports that often determine whether suicide prevention becomes routine, including standardized training, consistent data collection and reporting, shared resources, and practical implementation support for day-to-day workflows and system processes.

What outcomes is this grant trying to improve within participating systems?

The grant is designed to help participating sites identify people at risk earlier, engage them more effectively, and support safer care pathways through consistent practices, improved system processes, and data-driven quality improvement.

Is this intended to support a single clinic or a broader system of care?

It is intended to support a broader system of care across multiple settings, not just a single clinic or program.

What does it mean that the Coordinating Center will "standardize tools and reporting"?

Within the scope described, it means the Coordinating Center is expected to help participating programs use consistent resources, training materials, and reporting approaches so that implementation quality and progress can be tracked and supported across sites.

Is this opportunity focused specifically on Indian Country and Indian health systems?

Yes. The grant focuses on strengthening suicide prevention efforts across Indian health systems and supporting ZSI projects operating in Indian Country.

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