In New York City, suicide by height, associated with buildings and other tall structures, is the second most common method of suicide. In this course, you will be asked, “What responsibility does design have when the built environment becomes implicated in a public health crisis?” You will examine how architectural design can become part of New York City’s public health infrastructure. You will collaborate with the New York City Department of Health and Mental Hygiene (DOHMH) and its citywide suicide prevention initiative, working alongside an active municipal effort investigating the relationship between suicide prevention and the built environment. You will be challenged to think beyond architecture as a response to crisis and instead consider design as an upstream public health practice. You will also investigate how buildings, public spaces, infrastructure, circulation, thresholds, visibility, material conditions, and access shape experiences of isolation, stress, connection, safety, dignity, and care. By the end of the semester, you will attain a deep understanding and sensibility for the complexities of suicide prevention and provide design propositions that reframe questions of mental health and its association with design through the future mobilization of architecture.