In this episode, Sam Ashoo, MD interviews Ashley A. Foster, MD, Bijan Ketabchi, MD, MPH and Jennifer A. Hoffmann, MD, MS on the March 2024 Pediatric Emergency Medicine Practice article, Evaluation and Management of Suicidal Ideation and Self-Harm in Children in the Emergency Department (https://www.ebmedicine.net/topics/psychiatric-behavioral/pediatric-emergency-medicine-suicidal-ideation-and-self-harm)* Introduction* Understanding Suicidal Ideation and Self Harm in Youths* Screening Tools and ApproachesAsk Suicide-Screening Questions (ASQ) Toolkit (https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials)Columbia Suicide Severity Rating Scale (C-SSRS) (https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/about-the-scale/)* Prehospital Care* Managing Patients in the ED* Dealing with Challenging Populations* Lethal Means Counseling* Emerging Tools in Suicide Risk IdentificationSuicide Risk Screening Pathway (https://www.nimh.nih.gov/sites/default/files/documents/research/research-conducted-at-nimh/asq-toolkit-materials/youth-ed/suicide_risk_screening_pathway_ed_youth_asq_nimh_toolkit.pdf)* Disposition and Referrals* National 988 Suicide & Crisis Lifeline  (https://988lifeline.org/)