Importance Numerous prognostic models of suicide risk have been published, but few have been implemented outside of integrated managed care systems.

Objective To evaluate performance of a suicide attempt risk prediction model implemented in a vendor-supplied electronic health record to predict subsequent suicidal ideation and suicide attempt.

Design, Setting, and Participants This observational cohort study evaluated implementation of a suicide attempt prediction model in live clinical systems without alerting. The cohort comprised patients seen for any reason in adult inpatient, emergency department, and ambulatory surgery settings at an academic medical center in the mid-South from June 2019 to April 2020.