use a family member’s firearm Of those, over two-thirds used guns that were unlocked and the remainder either knew how to open the gun safe or were able to break in In one study, nearly a quarter of children whose parents believed they had never handled their firearms were mistaken Removal of firearms (and potentially dangerous medications) from the home—at least temporarily—is ideal; safe storage is a minimum The dichotomy sometimes drawn between suicide “attempts” and suicide “gestures” is ill conceived, and the lethality of attempt does not always correlate with lethality of intent As a corollary, minimizing a suicidal act as “just cry for help” by not responding adequately only invites a potentially far-more-lethal “scream for help.” Suicidal ideation is common enough that EDs could consider screening all teens for suicidal ideations or attempts, especially ones engaging in any high-risk behaviors or with other identifiable risk factors Several screening tools, such as the Risk of Suicide Questionnaire (RSQ) and briefer two- and four-question screening tools are effective and accurate in screening for suicidality in patients presenting with nonpsychiatric complaints Other wellvalidated pediatric suicide screening tools include the “Ask SuicideScreening Questions” (ASQ, https://www.nimh.nih.gov/research/research-conducted-at-nimh/asqtoolkit-materials/index.shtml ) and the Columbia Suicide Severity Rating Scale (C-SSRS, http://cssrs.columbia.edu/ ) The AACAP Suicide Resource Center can be accessed at https://www.aacap.org/aacap/families_and_youth/resource_centers/ Suicide_Resource_Center/Home.aspx