This article addresses the prevention of juvenile suicide while in custody. Several risk factors were identified as possible factors involved in suicide among youth confined in juvenile facilities: mental health disorders; substance abuse; impulsivity and instability; family discord and abuse; depression and decreased social connection; and disciplinary problems. Suicide prevention practices are discussed using four specific assessment criteria: written procedures; intake screening; staff training; and close observation. A significant conclusion drawn is youth suicide within juvenile facilities has not received comparable attention to youth suicide overall lending to the extent and nature of these deaths remaining unknown.