ED STOP Suicide Collaborative


Optimize the clinical care processes for children and adolescents presenting to emergency departments (ED) with acute suicidality.


In late 2021, the American Academy of Pediatrics, American Academy of Child and Adolescent Psychiatry, and the Children’s Hospital Association collectively declared a National State of Emergency in Children’s Mental Health and called out the need to “address the ongoing challenges of the acute care needs of children and adolescents, including shortage of beds and emergency room boarding.”

In recognition that many EDs across the nation are overwhelmed by the rate at which children and adolescents are presenting mental health emergencies, the Emergency Medical Services for Children (EMSC) program designed the ED STOP Suicide Collaborative to bring ED-based teams from across the nation together with nationally recognized experts in pediatric mental health to exchange evidence-based best practices and optimize the care of children and adolescents presenting with acute suicidality.

Why Join

No effort to improve the care processes for children and adolescents presenting with acute suicidality is too small to make an impact. This collaborative will provide evidenced-based best practices, resources, coaching by pediatric mental health experts and networking opportunities to improve the care of children and adolescents in your community at no cost.

Who Should Participate

The collaborative is open to any hospital or freestanding emergency department that is interested in improving their care processes for children and adolescents presenting with acute suicidality.

Sites will enroll as a multidisciplinary team of at least 3 individuals. These should be individuals who regularly interact with children and adolescents presenting to the site’s emergency department with mental/behavioral health emergencies. This might include physicians, nurses, social work, mental health professionals, child life specialists, sitters/medical watch, patient/family advisory board representatives or community-based partners such as mental health professionals, pediatricians, or school officials.

As mental health resources are often shared within a region, sites will be grouped into state/territory or region-based teams to encourage collaboration and efficient use of these often-limited resources. Sites are encouraged to promote participation in the collaborative across their hospital system and/or amongst neighboring hospitals and freestanding emergency departments. EMSC program managers who participate in the collaborative will have an opportunity to work with and support participating teams.

International teams are welcome to apply. There is a registration limit of 500 ED-based teams and will be granted on a first come, first served basis.

Time Commitment

Participants are expected to attend monthly, one-hour virtual learning sessions. Optional coaching sessions will also be available for further assistance. Sessions will be recorded for those that cannot make the live events. Click here to view the calendar of events.

In addition to virtually attending the monthly learning session, participants will implement a quality improvement (QI) project within their ED. Therefore, participants will likely spend up to one additional hour per week meeting with their internal team, selecting an improvement idea, testing the change, and summarizing their progress. The total time commitment is roughly 6 hours per month.


After performing a needs assessment, sites will implement a QI project within their ED that is focused on one of the following care processes: screening, mental health assessment, ED-based interventions, discharge and disposition, or community linkages. Improvement bundles have been developed for each of these care processes to help guide the development of the QI project.

Teams will be asked to choose at least one of their sites to present their progress and discuss challenges with fellow collaborative participants during each of the monthly learning sessions. In addition, every site will complete a monthly progress report form.

To learn more about the participation expectations and see an example project, please click here.


Continuing nursing education (CNE) and Maintenance of Certification Part 4 (MOC Part 4) credit hours will be available. Important: live attendance at the learning sessions and completion of a post-session evaluation is required for CE credit.