The relationship between preadolescent suicidality (ideation, threats, attempts) and subsequent adolescent suicidal behavior is well documented. The authors tested a six domain, ecological suicide risk model in a sample of 69 preadolescent outpatients (ages 5 to 12 years). Items were correlated from each domain with “Suicidality” as measured by the Pfeffer Spectrum of Suicide Potential Scale. Three domains (Child Risk Factors, Child Traumas, Family Stressors) had a total of 19 items that were significantly correlated with Suicidality; one item in the fourth dimension, Social Supports, was included. The authors showed that children who demonstrate anxiety/depression and aggressive and antisocial behavior ina climate of parental hostility are at risk for suicidal behavior. (55 refs)