The Psychiatry High Risk Program (PHRP) is a recovery-based suicide prevention program for youths and young adults who struggle with suicide ideation or a recent attempt. It was established in 2017 to address rising rates of suicide in Central New York. The program’s goal is to break the cycle of chronicity and to inject hope by laying out a path to recovery. It has received local and national recognition through newspaper articles, presentations at conferences, and advanced publication in the journal Psychiatric Services by demonstrating strong outcomes in reducing rates of hospitalization and severity of depression and suicide ideation. Innovative aspects include specialized treatment for high risk individuals, facilitation of transitions in care, a cohesive health care team that uses a common framework, regular peer consultation, and weekly manual-based psychotherapy (Dynamic Deconstructive Psychotherapy-DDP) aiming for recovery. After independent investigation, DDP had been previously accepted by SAMHSA in 2012 for inclusion in its National Registry of Evidence-Based Programs and Practices for treatment of depression, alcohol use disorder, borderline personality disorder, and parasuicide behaviors.