Background: To predict and prevent mental health crises, we must develop new approaches that can provide a dramatic advance in the effectiveness, timeliness, and scalability of our interventions. Current methods of predicting mental health crises (e.g., clinical monitoring, screening) usually fail on most, if not all, of these criteria. Lucky for us, 77% of Americans carry with them an unprecedented opportunity to detect risk states and provide precise, life-saving interventions. Smart phones represent an opportunity to empower individuals to leverage the data they generate through their normal phone use to predict and prevent mental health crises. Objective: We believe that with enough high-quality, passive mobile sensing data, we may be able to generate predictive machine learning algorithms to solve previously intractable problems and identify risk states before they become crises. To test this hypothesis, our team built the Effortless Assessment of Risk States (EARS) tool. Methods: The EARS tool captures multiple indices of a person's social and affective behavior via their naturalistic use of a smart phone. These indices include facial expressions, acoustic vocal quality, natural language use, physical activity, music choice, and geographical location, among others. Critically, the EARS tool collects these data passively, with almost no burden on the user. We programmed the EARS tool in Java for the Android mobile platform. In building the EARS tool, we concentrated on two main considerations: (1) privacy and encryption and (2) phone use impact. Results: In a pilot study (N = 24), participants tolerated the EARS tool well, reporting minimal burden. None of the participants who completed the study reported needing to use the provided battery packs. Current testing on a range of phones indicated the tool will consume approximately 15% of the battery over a 16 hour period. Installation of the EARS tool causes minimal change in the UI/UX. Once installation is completed, the only difference the user will notice is the custom keyboard. Conclusions: The EARS tool offers an innovative approach to passive mobile sensing by emphasizing the centrality of a person's social life to their well-being. We built the EARS tool to