This paper reviews the risk factors for suicide in teenagers to which prevention procedures could rationally be directed. A range of suicide preventive interventions, including hotline and crisis services, school based educational and screening procedures, effective treatment of suicide attempters, minimizing opportunities for suicide imitation, and controlling access to the methods most often used to commit suicide are described, and evidence for their efficacy is presented. Most suicides among teenagers occur in those with identifiable mental or character disorders, and increasing knowledge about risk factors may facilitate prediction in the future. The evidence for the efficacy of any existing intervention, however, is slender, and there is a clear need for more effective research into the management of high-risk groups.
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