Clinical care for suicidality is challenging. Clinicians are told to empathically and collaboratively engage with suicidal Service members; until someone attempts or dies by suicide and clinicians are asked why they didn’t engage in unilateral action to ensure the Service member’s safety. Clinicians are expected to prevent suicide when there is no way to predict if, let alone when, suicides will occur, and the efficacy of suicide intervention is conditional on evidence-based practices not widely available. This presentation addresses these tensions and offers evidence-based solutions to the management and treatment of suicidality as well as clinical maxims from 25 years of treating suicidal individuals.