Increasing suicide rates among our nation's youth show an alarming trend among girls. Since 2007, the suicide rate for girls (ages 10-14) rose 12.7% per year, compared to 7.1% for boys in the same age group. For adolescents (ages 15-19), the annual suicide rate increased by 7.9% for girls and 3.5% for boys (Ruch et al., 2019). School counselors are a vital resource to students who are struggling with their mental health because they see students more than any mental health professional in the school context (Schiro, 2021). The purpose of this narrative study was to determine the perceived underlying factors contributing to the rise in suicide rates among adolescent girls, through the lens of 10 junior high counselors. The findings of this study described: (a) primary ways that school counselors identify suicidality for at-risk girls; (b) factors to suicidality that school counselors deem to be most influential; and (c) recommendations school counselors offer to mitigate suicidality among girls. Teacher reports, friend reports, and school counselor's risk assessment were the most prevalent methods to identify suicidality. Leading contributing factors included: childhood trauma, negative effects of social media, and strained parental relationships. Parent education, student education, and school counselor education were the hallmark features of mitigation. Recommendations to mitigate suicidality among female adolescents include: (a) trauma-informed care; (b) parent education; (c) student education; (d) teacher professional development; and (e) school counselor professional development. This study provides insight for educators to address suicidality in female adolescents more effectively. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]