The prospect of a young person committing suicide is one of the most emotionally wrenching realities we face as mental health professionals and as human beings. This chapter presents a review of major issues associated with adolescent suicide assessment and management for three main reasons. First, suicide attempts are among the most common of all psychiatric emergencies, with around 7%‐9% of high school students reporting a suicide attempt in the past year. Second, suicide ideation, attempt, and completion are even more likely within the population of difficult or challenging youth. Third, there appears to be little systematic suicide assessment and treatment information provided within most professional training programs, including counseling programs. The chapter focuses on primary components of professionally competent adolescent suicide assessment interviewing and brief intervention approaches. It helps increase counselor's awareness of essential professional behaviors when working with suicidal young people.