Even before COVID-19, one in seven Colorado high school students said they had seriously considered suicide within the past 12 months. Primary care interventions can have a dramatic positive impact on this pediatric mental health crisis. This ECHO series will support primary care providers in the outpatient setting by offering a practical suicide prevention care pathway based on the Zero Suicide framework. The five sessions will cover the implementation of an evidence-based screening tool, assessment, safety planning, lethal means safety, referral/resources and ongoing management follow up plan to support youth experiencing suicidal ideation.