Relational suicide assessment was conceived as a joint process between Flemons, a family therapist, and Gralnik, a psychiatrist. The concept of relational suicide assessment emerged in the context of training that the authors provided to staff at the student counseling center they directed. As in any good suicide assessment approach, Flemons and Gralnik stress the need for consideration of both risk factors and protective factors. The authors underscore the importance of taking into account both interpersonal and intrapersonal risks and resources for the individual, which unfortunately is too often neglected in a suicide risk assessment. Relational suicide assessment specifically considers the weight of the impact of the significant relationships in someone’s life on their safety risk. The authors provide guidance for this in their risk and resource guide, which is a template for conducting a semistructured assessment interview that examines four major areas of concern: disruptions and demands, suffering, troubling behaviors, and desperation. In addition, in chapter 4 the authors explore the importance of developing a comprehensive and collaborative safety plan; they also address the concerns about safety contracts.