Inclusion Criteria:  Veteran eligible for VHA care at participating site two or more suicide attempts in lifetime, with one in past 6 months, on Columbia-Suicide Severity Rating Scale (C-SSRS) current suicidal ideation (endorsing a suicidal ideation scale of at least 1 [passive ideation] on C-SSRS emotion dysregulation (score 110 on DERS) can attend group sessions willing to provide contact information for at least one person who can help locate the participant if study staff are unable to contact them (information for three contact persons will be requested; a participant must provide at least one contact person's information to be included in the study) access to telephone; if insufficient access to videoteleconference and local facility is using remote procedures for study, willing to request access to VA-provided device  Exclusion Criteria:  significant cognitive impairment (score < 28 on modified Telephone Interview for Cognitive Status (mTICS) inability to read English or communicate in spoken and written English plan to move away or be unavailable in the next 18 months