This study examined the prevalence of suicidality among secondary school students in Hong Kong using a representative, territory-wide sample of 2586 students. Analysis indicated that suicidal behaviors can be conceptualized as a spectrum of self-destructive behaviors, & that a range of factors, such as unhappy family life, were associated with increasing levels of suicidality. Use of illicit drugs, inhalants, & tobacco differentiated attempters from ideators. The implications of the research findings are discussed. (38 refs)