Given the increasing prevalence of adolescent deaths by suicide, social workers are increasingly likely to be called upon to respond to traumatically bereaved families, peers, and possibly professional colleagues following an adolescent's death by suicide. The authors discuss current trends in adolescent suicide. A stress diathesis model is applied to considering risk factors and their clinical implications following an adolescent's death by suicide. Using a case scenario, the authors discuss clinical issues of complex bereavement following suicide, along with some suggestions for effective clinical follow-up with surviving families, peers, and professionals.