This issue brief explores how youth-led efforts can be a response to the rising number of youth with mental health challenges and the shortage of school psychologists and counselors. It includes an overview of an Ohio suicide prevention program and an Oregon teen-to-teen youth crisis line. There are also interviews with the youth leaders and a list of relevant resources. A companion webinar highlighting the experiences of three youth leaders in supporting peer-to-peer mental health programs can be found here. https://www.youtube.com/watch?v=ikcpEPFByKw This resource supports resiliency.