There were 145 youth suicides in the six NVISS sites; 43% involved a firearm (n=63). Of the 63 youth firearm suicide decedents, most were White (95%), male (87%), non-Hispanic (92%), and aged 15–17 years (75%). Fifty-two percent used handguns, and 81% of the suicides took place in the victim’s home. Notably, data showed that at least 27% of the decedents had received mental health care at some point, 19% were in treatment at the time of their death, and 19% had previously attempted suicide. A common circumstance noted was a recent relationship problem involved family, friends, or intimate partners (57%). The owner of the firearm used in the suicide was unknown for 19 of the decedents. Among those for whom firearm owner information was available (44), 33 of the firearms were owned by parents, 3 were owned by other relatives, and 8 were owned by the decedent.