In this study the authors sought to determine the potential risk factors associated with repeat suicide attempts among adolescents using a retrospective medical record review of all patients aged 13-20 years who presented to the emergency department at an inner city tertiary hospital after attempted suicide between 1994 & 1996. 87% of patients presented with a drug overdose. 75% of all subjects attempted suicide in the context of a dispute or relationship break-up. At least one psychiatric disorder was present in 76% of subjects. Further risk factors are discussed. (44 refs)