Inclusion Criteria:  50-90 years old Diagnosis (based on a modified SCID-5 Clinical Trials Version to assess DSM-5 diagnoses): Any DSM-5 except: current diagnosis of Psychotic Disorder; diagnosis of Dementia Recent hospitalization for suicidal ideation or suicide attempt; at hospital admission, Columbia Suicide Severity Rating Scale (CSSR-S) ≥ 2, "Non-specific Active Suicidal Thoughts." We will also include patients on psychotropics and on after-care community psychotherapy.  Exclusion Criteria:  Current diagnosis of Psychotic Disorders; Diagnosis of Dementia Cognitive Impairment (MMSE ≤ 24) Acute or severe medical illness (i.e., delirium; decompensated cardiac, liver or kidney failure; major surgery; stroke or myocardial infarction during the three months prior to entry Aphasia, sensory problems, and/or inability to speak English.