Opportunity Information: Apply for RFA MH 23 260

Suicide Prevention Across the Life Span in Low- and Middle-Income Countries (R34 Clinical Trial Optional) is a National Institute of Mental Health (NIMH), National Institutes of Health (NIH) funding opportunity (RFA-MH-23-260) that supports research aimed at reducing suicide risk and strengthening resilience in low- and middle-income countries (LMICs). The focus is on evaluating multilevel prevention strategies that address suicide ideation and behaviors, including self-harm and suicide attempts, across different age groups and life stages. The opportunity is built around the idea that suicide prevention in LMICs requires approaches that fit local cultures, systems, and resources, rather than simply importing interventions designed for high-income settings.

The core purpose of the grant is to fund both experimental and non-experimental studies that test or assess preventive strategies operating at more than one level. This includes individual-level approaches often described as selective prevention (targeting people or groups at elevated risk) as well as population-level or universal prevention strategies (aimed at broader communities or entire populations). NIMH is emphasizing that effective prevention in LMICs will likely require combining or coordinating interventions across settings such as health care, schools, workplaces, families, and community systems, while accounting for multiple risk factors (for example, mental health conditions, substance use, trauma exposure, social stressors) and protective factors (such as connectedness, supportive relationships, coping skills, access to care, and community-level supports).

As an R34 mechanism, the award is generally positioned as a grant type that supports early-stage or preparatory clinical research, including feasibility, pilot testing, refinement of approaches, and building the evidence base needed for larger trials or broader implementation. The listing notes "Clinical Trial Optional," meaning applicants may propose a study that includes a clinical trial component, but they are not required to do so; proposals can be designed either with or without a clinical trial depending on the research question and stage of intervention development.

In terms of funding details, the opportunity is categorized as a discretionary grant in the health area (CFDA 93.242). The award ceiling is listed as $450,000, indicating the maximum anticipated funding level per award under this announcement. The original closing date was June 20, 2023, and the announcement was created on March 28, 2023. While the expected number of awards is not specified in the provided text, the ceiling and mechanism suggest a competitive, targeted call focused on generating actionable evidence for suicide prevention strategies that can work in LMIC contexts.

Eligibility is broad and includes many types of U.S.-based and non-U.S. organizations. Eligible applicants include state, county, and local governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments; and other Native American tribal organizations. It also includes public housing authorities/Indian housing authorities, nonprofit organizations (both with and without 501(c)(3) status), for-profit organizations (other than small businesses), and small businesses. The announcement explicitly highlights additional eligible applicants such as Alaska Native and Native Hawaiian Serving Institutions, Asian American Native American Pacific Islander Serving Institutions (AANAPISISs), Hispanic-serving Institutions, Historically Black Colleges and Universities (HBCUs), Tribally Controlled Colleges and Universities (TCCUs), faith-based or community-based organizations, eligible federal agencies, regional organizations, U.S. territories or possessions, Indian/Native American Tribal Governments that are not federally recognized, and non-domestic (non-U.S.) entities, including foreign organizations. This wide eligibility aligns with the global scope of the work and the expectation that successful projects may require partnerships among academic institutions, community organizations, health systems, and government stakeholders in LMIC settings.

Overall, this opportunity is geared toward building practical, culturally responsive evidence on how to prevent suicide and promote resilience across the lifespan in LMICs by testing prevention strategies that operate at multiple levels, from targeted supports for high-risk groups to broader community or population-level approaches.

  • The National Institutes of Health in the health sector is offering a public funding opportunity titled "Suicide Prevention Across the Life Span in Low- and Middle-Income Countries (R34 Clinical Trial Optional)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.242.
  • This funding opportunity was created on 2023-03-28.
  • Applicants must submit their applications by 2023-06-20. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $450,000.00 in funding.
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For-profit organizations other than small businesses, Small businesses, Others.
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FAQs: Suicide Prevention Across the Life Span in Low- and Middle-Income Countries (R34 Clinical Trial Optional) - RFA-MH-23-260

What is this funding opportunity?

This is a National Institute of Mental Health (NIMH), National Institutes of Health (NIH) funding opportunity titled "Suicide Prevention Across the Life Span in Low- and Middle-Income Countries (R34 Clinical Trial Optional)." The funding opportunity announcement (FOA) number is RFA-MH-23-260.

What is the main goal of the grant?

The main goal is to support research that reduces suicide risk and strengthens resilience in low- and middle-income countries (LMICs). The emphasis is on evaluating prevention strategies that address suicide ideation and behaviors, including self-harm and suicide attempts, across different age groups and life stages.

Why is the focus specifically on LMICs?

The opportunity is built on the premise that suicide prevention in LMICs often requires approaches tailored to local cultures, systems, and available resources, rather than simply importing interventions designed for high-income settings.

What kinds of studies does the FOA support?

The FOA supports both experimental and non-experimental studies that test or assess preventive strategies operating at more than one level (multilevel approaches).

What does "multilevel prevention strategies" mean in this context?

Multilevel strategies are approaches that operate across more than one level of influence. Based on the FOA description, this can include combining or coordinating interventions across settings such as health care, schools, workplaces, families, and community systems, rather than focusing only on one setting or one type of intervention.

Does the FOA allow projects that focus on high-risk groups?

Yes. The FOA explicitly includes individual-level approaches often described as selective prevention, meaning interventions that target people or groups at elevated risk.

Does the FOA allow population-wide or community-wide prevention approaches?

Yes. The FOA also includes population-level or universal prevention strategies aimed at broader communities or entire populations.

Is it expected that projects combine selective and universal approaches?

The FOA emphasizes that effective prevention in LMICs will likely require combining or coordinating interventions across different settings and levels, which can include both selective and universal components, depending on the proposed strategy.

What suicide-related outcomes are within scope?

The scope includes suicide ideation and behaviors, including self-harm and suicide attempts.

Does the FOA specify risk factors and protective factors that projects can address?

Yes. The FOA description references multiple risk factors such as mental health conditions, substance use, trauma exposure, and social stressors, as well as protective factors such as connectedness, supportive relationships, coping skills, access to care, and community-level supports.

What does the R34 mechanism mean for applicants?

As an R34 mechanism, the award is generally positioned to support early-stage or preparatory clinical research. This can include feasibility studies, pilot testing, refinement of approaches, and building the evidence base needed for larger trials or broader implementation.

What does "Clinical Trial Optional" mean?

"Clinical Trial Optional" means applicants may propose a study that includes a clinical trial component, but they are not required to do so. Proposals may be designed with or without a clinical trial depending on the research question and the stage of intervention development.

Which agency is offering this grant?

The grant is offered by the National Institute of Mental Health (NIMH), which is part of the National Institutes of Health (NIH).

What is the assistance listing / CFDA number and program area?

The opportunity is listed under CFDA (Assistance Listing) 93.242 and is categorized in the health area as a discretionary grant.

What is the maximum award amount?

The award ceiling is listed as $450,000, which indicates the maximum anticipated funding level per award under this announcement.

How many awards will be made?

The expected number of awards is not specified in the information provided.

What were the key dates for this FOA?

The announcement was created on March 28, 2023. The original closing date was June 20, 2023.

Who is eligible to apply?

Eligibility is broad and includes many U.S.-based and non-U.S. organizations. Eligible applicants include state, county, and local governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments; and other Native American tribal organizations. It also includes public housing authorities/Indian housing authorities, nonprofit organizations (with or without 501(c)(3) status), for-profit organizations (other than small businesses), and small businesses.

Are non-U.S. organizations allowed to apply?

Yes. The announcement includes non-domestic (non-U.S.) entities, including foreign organizations, as eligible applicants.

Are U.S. territories or possessions eligible?

Yes. U.S. territories or possessions are included among the eligible applicants described.

Are faith-based or community-based organizations eligible?

Yes. Faith-based or community-based organizations are explicitly highlighted as eligible applicants.

Are minority-serving institutions included as eligible applicants?

Yes. The announcement highlights eligibility for Alaska Native and Native Hawaiian Serving Institutions, Asian American Native American Pacific Islander Serving Institutions (AANAPISISs), Hispanic-serving Institutions, Historically Black Colleges and Universities (HBCUs), and Tribally Controlled Colleges and Universities (TCCUs).

Are tribal entities eligible even if they are not federally recognized?

Yes. The eligibility list includes Indian/Native American Tribal Governments that are not federally recognized.

Can federal agencies apply?

Yes. Eligible federal agencies are explicitly included among eligible applicants.

What types of partnerships or collaborations fit this FOA?

The FOA description indicates that successful projects may require partnerships among academic institutions, community organizations, health systems, and government stakeholders in LMIC settings, consistent with the multilevel and culturally responsive focus.

Is the FOA oriented toward implementation of established programs from high-income countries?

The FOA emphasizes that approaches should fit local cultures, systems, and resources in LMICs, rather than simply importing interventions designed for high-income settings.

Is the focus limited to a single age group?

No. The FOA focuses on suicide prevention across the life span, covering different age groups and life stages.

What is the overall emphasis of the opportunity?

The overall emphasis is on generating practical, culturally responsive evidence for preventing suicide and promoting resilience in LMICs by evaluating prevention strategies that operate at multiple levels, from targeted supports for higher-risk groups to broader community or population-level approaches.

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