Over a 15-year period, a large proportion of counties in the United States received financial funding to engage in youth suicide-prevention initiatives, including the following (3): Establishment of outreach, awareness-raising, and screening programs Provision of "gatekeeper" training (ie, educating people in key front-line roles to recognize suicide risk and intervene accordingly) Development of coalitions (which typically include a number of local groups, eg, local government departments of mental health or suicide prevention, nonprofit organizations focused on suicide prevention, educators, parent groups, faith-based groups, law enforcement, etc) Implementation of policies and / or protocols Establishment and funding of hotlines Forty percent of GLS grants are awarded in rural areas of the United States, where suicide rates are higher and where resources for programs and clinical treatment tend to be much less available than they are in other areas.