Media has changed the daily lives of most Americans, especially adolescents. The interplay between development and media habits is complex. There is a link between excessive media use and risk-taking behaviors, with an alarming increase in adolescent nonsuicidal self-injury, suicidal behavior, and completed suicide. The link is complex and not necessarily causal. Clinicians should routinely take a media history that distinguishes types and extent of use, content, and psychological impact. Media is a significant part of adolescents’ lives and exploring their engagement with media is a critical piece of the initial assessment, risk assessment, and ongoing treatment.