Comparing Suicide Prevention Interventions to Guide Follow-up Care: The SPRING Trial

Inclusion Criteria: * Adolescents (12-17 years old) and adults (18+) * Response of "yes" to at least one item on the Columbia Suicide Severity Rating Scale (C-SSRS) six-item screener at a St. Luke's Health System (SLHS) primary care or behavioral health clinic, or electronic health record or provider note from an eligible encounter indicates suicide risk * Ability to send and receive text messages * Ability to receive phone calls * Ability to receive emails * Participant and legal guardian (if applicable) speak, read, and understand English * Accommodations may be made for individuals with impaired hearing Exclusion Criteria: * Individuals who participated in a previous randomized controlled trial in the same health system related to Caring Contacts (SPARC Trial or MHAPPS Trial) * Patients who are unable or unwilling to provide informed consent\*, for example, due to acute or chronic cognitive impairment (i.e.: acute psychosis, intoxication, or intellectual disability). * Primary Care Provider, Behavioral Health Provider, or Principal Investigator determines that participation in the research is not in the best interest of the patient or the study team.