The main aims of the Blacktown Youth Suicide Prevention Project were to improve health care to young people at risk of suicide when they present to the emergency department & to implement a coordinated care plan of active follow-up for each young client. The expected outcomes of the intervention strategies were: engagement & maintenance of clients in treatment; reduction of symptoms & disability; & reduction in the frequency & severity of deliberate self-harm. The outcomes pertaining to these expectations were presented & discussed. Results were encouraging but some concerns remain.