This editorial will attempt to address the piece of the puzzle that is missing, with an emphasis from a Caribbean perspective, as local and regional bodies continue to lobby for change in policies and procedures that address at risk behaviors such as self-harm and suicide attempts in schools. The editorial will also examine attachment styles, their links to suicidal behaviors among teenage groups, and the necessity for school personnel and stakeholders to understand the developmental patterns of adolescents and the risk and protective factors associated with mental health issues, before structuring interventions that are usually done through an adult lens. How can interventions be made for adolescent students within a school setting, whose voices are rarely heard in this debate?