Qualitative data from an empirical study of adolescent suicide risk were analyzed to examine the screening component built in to a larger protocol. It was determined that a significant number of students were being identified as being in need of follow-up. Although the majority (88.7%) of students screened met criteria for placement in the no indicators (of risk) category, 3.8% evidenced apparent need of follow-up, 4.4% qualified for notable concern, and 3.1% were deemed to be at-risk or in crisis. Several gender and ethnic differences in risk category status are also discussed. The system utilized at the school and examples of the range of interventions utilized are discussed. Evidence for the positive effects of this screening on individual students and the school as a whole are presented. Arguments for the regular use of screening measures in high schools and suggestions for implementation are also given.