As the incidence of adolescent suicide within our society continues to
rise, it becomes increasingly important for the mental health profess
ional to be able to accurately assess suicide risk in adolescents who
seek help. This process model discusses primary risk factors (previous
attempt, affective disorders, and hopelessness), secondary risk facto
rs (substance abuse and personality or behavioral disorders), situatio
nal risk factors (family functioning, suicide exposure, social support
, life stressors, and homosexuality), and their combined implications
and significance in determining an adolescent's level or risk for suic
ide. Use of both empirical data and clinical intuition are integrated
to form a working client model that is continuously reassessed in four
stages, guiding the mental health professional through a comprehensiv
e assessment process. (C) 1998 The Association for Professionals in Se
rvices for Adolescents.