‘‘(iii) a Federally-recognized Indian 
tribe or tribal organization (as defined in 
the Indian Self-Determination and Edu-
cation Assistance Act) or an urban Indian 
organization (as defined in the Indian 
Health Care Improvement Act) that is ac-
tively involved in the development and con-
tinuation of a tribal youth suicide early 
intervention and prevention strategy. 
‘‘(B) PREFERENCE.—In awarding grants 
and cooperative agreements under this section, 
the Secretary shall give preference to States 
that have rates of youth suicide that signifi-
cantly exceed the national average as deter-
mined by the Centers for Disease Control and 
Prevention. 
‘‘(C) LIMITATION.—In carrying out this 
section, the Secretary shall ensure that each 
State is awarded only one grant or cooperative 
agreement under this section. For purposes of 
the preceding sentence, a State shall be consid-
ered to have been awarded a grant or coopera-
tive agreement if the eligible entity involved is 
the State or an entity designated by the State 
under subparagraph (A)(ii). Nothing in this
subparagraph shall be construed to apply to en-
tities described in subparagraph (A)(iii). 
‘‘(3) PREFERENCE.—In providing assistance 
under a grant or cooperative agreement under this 
subsection, an eligible entity shall give preference to 
public organizations, private nonprofit organizations, 
political subdivisions, and tribal organizations ac-
tively involved with the State-sponsored statewide or 
tribal youth suicide early intervention and prevention 
strategy that— 
‘‘(A) provide early intervention and assess-
ment services, including screening programs, to 
youth who are at risk for mental or emotional 
disorders that may lead to a suicide attempt, 
and that are integrated with, school systems, 
educational institutions, juvenile justice sys-
tems, substance abuse programs, mental health 
programs, foster care systems, and other child 
and youth support organizations; 
‘‘(B) demonstrate collaboration among 
early intervention and prevention services or 
certify that entities will engage in future col-
laboration; 
‘‘(C) employ or include in their applica-
tions a commitment to evaluate youth suicide
early intervention and prevention practices and 
strategies adapted to the local community; 
‘‘(D) provide timely referrals for appro-
priate community-based mental health care and 
treatment of youth who are at risk for suicide 
in child-serving settings and agencies; 
‘‘(E) provide immediate support and infor-
mation resources to families of youth who are 
at risk for suicide; 
‘‘(F) offer access to services and care to 
youth with diverse linguistic and cultural back-
grounds; 
‘‘(G) offer appropriate post-suicide inter-
vention services, care, and information to fami-
lies, friends, schools, educational institutions, 
juvenile justice systems, substance abuse pro-
grams, mental health programs, foster care sys-
tems, and other child and youth support organi-
zations of youth who recently completed suicide; 
‘‘(H) offer continuous and up-to-date in-
formation and awareness campaigns that target 
parents, family members, child care profes-
sionals, community care providers, and the gen-
eral public and highlight the risk factors associ-
ated with youth suicide and the life-saving help
and care available from early intervention and 
prevention services; 
‘‘(I) ensure that information and aware-
ness campaigns on youth suicide risk factors, 
and early intervention and prevention services, 
use effective communication mechanisms that 
are targeted to and reach youth, families, 
schools, educational institutions, and youth or-
ganizations; 
‘‘(J) provide a timely response system to 
ensure that child-serving professionals and pro-
viders are properly trained in youth suicide 
early intervention and prevention strategies and 
that child-serving professionals and providers 
involved in early intervention and prevention 
services are properly trained in effectively iden-
tifying youth who are at risk for suicide; 
‘‘(K) provide continuous training activities 
for child care professionals and community care 
providers on the latest youth suicide early inter-
vention and prevention services practices and 
strategies; 
‘‘(L) conduct annual self-evaluations of 
outcomes and activities, including consulting