Filling a tremendous need, this highly practical book adapts the proven techniques of dialectical behavior therapy (DBT) to treatment of multiproblem adolescents at highest risk for suicidal behavior and self-injury. The authors are master clinicians who take the reader step by step through understanding and assessing severe emotional dysregulation in teens and implementing individual, family, and group-based interventions. Insightful guidance on everything from orientation to termination is enlivened by case illustrations and sample dialogues. Appendices feature 30 mindfulness exercises as well as lecture notes and 12 reproducible handouts for "Walking the Middle Path," a completely new DBT skills training module for adolescents and their families. Following a foreword by Charles R. Swenson and an introduction, this book is divided into the following 12 chapters: (1) Suicidal Behaviors in Adolescents: Who Is Most at Risk?; (2) What Do We Know about Effective Treatments for Suicidal Adolescents?; (3) Dialectical Behavior Therapy: Treatment Stages, Primary Targets, and Strategies; (4) DBT Program Structure: Functions and Modes; (5) Dialectical Dilemmas for Adolescents: Addressing Secondary Targets; (6) Assessing Adolescents: Suicide Risk, Diagnosis, and Treatment Feasibility; (7) Orienting Adolescents and Families to Treatment and Obtaining Commitment; (8) Individual Therapy with Adolescents; (9) Including Families in Treatment; (10) Skills Training with Adolescents; (11) Assessing Progress, Running a Graduate Group, and Terminating Treatment and; (12) Program Issues. The following are appended: (1) Mindfulness Exercises for Adolescents; (2) Walking the Middle Path Skills: Lecture and Discussion Points; and (3) Handouts for Walking the Middle Path Skills.