Suicide is defined as a self-chosen death and is the third leading cause of death in children ages 10 to 9 (Doucette, 2005). The American Association of Suicidology (2008) estimates that in a typical high school classroom, three students (one boy and two girls) have likely made a suicide attempt in the past year Suicide is a preventable occurrence, placing a heavy burden on the nurse’s ability to identify the at-risk child or adolescent, who may display mental health and emotional problems. There is a need for more completely integrated medical and mental health services for children and adolescents (Coury, 2006).