In the UK, suicide rates in adolescent males continue to rank consistently and significantly higher than in females. Despite this, suicide prevention strategies within government policies, clinical guidance and practice, appear to lack gender specific guidance. Evidence suggests that social constructions of masculinity can influence various factors that contribute to suicidality in this high-risk group. This article reports the results of a literature review, which aimed to inform the development of gender specific guidelines for mental health services to assist in preventing suicidality in adolescent males.