Inclusion Criteria:  18 years and older Elevated suicidal ideation per item 9 of the PHQ (item score ≥ 1) completed during a primary care visit Able to read and understand English  Exclusion Criteria:  Current psychotic episode requiring emergency services and/or precluding ability to provide informed consent Documented diagnosis of dementia in the past 2 years. The rationale for this criteria is that these individuals may have difficulty understanding the study information provided to them, including how to opt out of the study No patients will be excluded on the basis of sex, race, or ethnicity Primary care provider notes that participation is not indicated Already received a study engagement strategy following a different primary care visit.