Angels score 3 in the 10th inning and 3 in the 11th for a 9-7 victory over the Cardinals

ST. LOUIS (AP) — Kyren Paris hit a tiebreaking single in the 11th inning, Yoan Moncada followed with a two-run double and the Los Angeles Angels beat the St. Louis Cardinals 9-7 on Tuesday night.

The game was tied at 3 after nine innings before each team scored three runs in the 10th — and the Angels added three in the 11th. Victor Scott II had an RBI single in the bottom half, but Ryan Zeferjahn got two outs for his first career save.

Zeferjahn struck out Willson Contreras with a runner aboard to end it as the Angels outlasted St. Louis in extra innings for the second consecutive night.

Ryan Johnson (1-0) earned his first major league win.

Los Angeles first baseman Nolan Schanuel hit a two-run triple in the 10th inning to make up for his throwing error in the eighth. Schanuel lined a shot to left-center just past Scott and it rolled to the wall, scoring Paris and Moncada for a 5-3 lead. Schanuel scored on Jo Adell's single.

Cardinals pinch-hitter Luken Baker answered with a two-run double to make it 6-5. Nolan Arenado tied it with an RBI single.

Chris Roycroft (0-1) allowed three runs — two earned — in one inning for St. Louis.

Jordan Walker had two hits and two RBIs for the Cardinals. He hit a 419-foot homer to the batter’s eye in center.

The Cardinals tied it 3-all on an error in the eighth. Arenado sent a roller to the right side that Schanuel fielded and threw low past a covering Ben Joyce into the Angels dugout as Lars Nootbaar scored from third.

Los Angeles is 4-1 for the first time since 2021 and three games above .500 for the first time since Aug. 2, 2023 (56-53).

Cardinals RHP Sonny Gray (1-0, 3.60 ERA) faces Angles LHP Yusei Kikuchi (0-1, 4.50) on Wednesday to close the three-game series.

St. Louis Cardinals' Nolan Arenado tosses his bat in the after striking out swinging during the sixth inning of a baseball game against the Los Angeles Angels Tuesday, April 1, 2025, in St. Louis. (AP Photo/Jeff Roberson)

Los Angeles Angels second baseman Luis Rengifo (2) throws out St. Louis Cardinals' Brendan Donovan at first during the eighth inning of a baseball game Tuesday, April 1, 2025, in St. Louis. (AP Photo/Jeff Roberson)

Los Angeles Angels' Nolan Schanuel follows through on a two-run triple during the 10th inning of a baseball game against the St. Louis Cardinals Tuesday, April 1, 2025, in St. Louis. (AP Photo/Jeff Roberson)

St. Louis Cardinals' Jordan Walker walks back to the dugout after flying out during the 10th inning of a baseball game against the Los Angeles Angels Tuesday, April 1, 2025, in St. Louis. (AP Photo/Jeff Roberson)

St. Louis Cardinals' Masyn Winn removes his batting gloves after grounding out to end the during the seventh inning of a baseball game against the Los Angeles Angels Tuesday, April 1, 2025, in St. Louis. (AP Photo/Jeff Roberson)

Los Angeles Angels' Yoan Moncada (5) is congratulated by teammate Mike Trout (27) after scoring on a two-run triple by Nolan Schanuel during the 10th inning of a baseball game against the St. Louis Cardinals Tuesday, April 1, 2025, in St. Louis. (AP Photo/Jeff Roberson)

Los Angeles Angels' Travis d'Arnaud, left, and teammate Ryan Zeferjahn celebrate a 9-7 victory over the St. Louis Cardinals in a baseball game Tuesday, April 1, 2025, in St. Louis. (AP Photo/Jeff Roberson)

Los Angeles Angels' Luis Rengifo (2) and Mike Trout celebrate a 9-7 victory over the St. Louis Cardinals in a baseball game Tuesday, April 1, 2025, in St. Louis. (AP Photo/Jeff Roberson)

Los Angeles Angels' Kyren Paris celebrates after hitting an RBI single during the 11th inning of a baseball game against the St. Louis Cardinals Tuesday, April 1, 2025, in St. Louis. (AP Photo/Jeff Roberson)

Health care systems can reduce suicides through patient screening, safety planning and mental health counseling, a new study suggests, an important finding as the U.S. confronts it 11th leading cause of death.

The “Zero Suicide Model” was developed in 2001 at Detroit-based Henry Ford Health, where the focus on people considering suicide included collaborating with patients to reduce their access to lethal means such as firearms and then following up with treatment.

The approach made a difference, and for all of 2009, the health system saw no suicides among patients. The researchers then studied what happened when a different health system, Kaiser Permanente, adopted the program in four locations from 2012 through 2019.

Suicides and suicide attempts fell in three of the locations, while the fourth maintained a low rate of suicides and attempts. Suicide attempts were tracked in electronic health records and insurance claims data. Suicides were measured using government death records.

Reductions varied and reached up to 25%, said lead author Brian Ahmedani, of Henry Ford Health.

“Over the course of the year, that’s up to 165 to 170 suicide attempts that were prevented at these participating health care systems,” Ahmedani said.

The study, published Monday in JAMA Network Open, shows the model works, said Katherine Keyes, a Columbia University public health professor who studies suicide.

Prior research has shown that nearly everyone who dies by suicide is seen by a health care provider in the year before their death, Keyes said. Many doctor's offices have started asking patients whether they've thought about harming themselves.

“We are coming into contact with people who are at high risk for suicide. If we don’t ask them, we don’t know,” said Keyes who was not involved in the new study.

Grants from the National Institute of Mental Health funded the research.

“Complex health problems like suicide cannot be challenged effectively without federal leadership,” said Mike Hogan, who led mental health systems in Connecticut, Ohio and New York, and chaired President George W. Bush’s commission on mental health in 2002 and 2003.

“This is a very important research report, confirming that reducing suicide among people in health systems is possible,” Hogan said.

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

The Henry Ford Hospital is seen in Detroit on Wednesday, Oct. 31, 2012. (David Coates/Detroit News via AP)