Suicide is the second leading cause of death among teens in Canada, with youth admitted to hospital at increased risk due to illness and pain. Recognizing suicide as a major public health concern, the Children’s Hospital of Eastern Ontario (CHEO) became the first Canadian pediatric hospital to implement universal inpatient suicide screening using the Ask Suicide-Screening Questions (ASQ) tool. Within CHEO’s Head2Toe (H2T) Program, unit nurses administer the ASQ, and Mental Health Consultation Liaison (MHCL) nurses provide follow-up for positive screens. 
 
 The MHCL nursing team supports frontline nurses through four pillars: rapport-building, education, mental health expertise, and quality improvement. Leveraging these pillars, MHCL nurses identified screening barriers through a nursing survey, integrated the patient and family's voice into a script, and helped increase suicide screening rates to over 90%. CHEO’s H2T program demonstrates that universal suicide screening is feasible in a large urban pediatric hospital.