Reducing youth suicide in the U.S. is a national public health priority. Sexual and gender
minority adolescents are at elevated risk for suicide. Safer school environments, however,
can decrease this risk. This study capitalizes on the critical role of school nurses in
improving the mental health of this vulnerable population through implementation and
sustainment of evidence-based strategies to enhance school environments. In addition to
suicide, the conceptual framework and methods for this novel, nurse-led intervention can be
applied to address the health-related concerns of other pediatric populations encountered in
school settings as well.