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The rates of mental health concerns among school-aged youth are increasing and the growing rates of students considering or planning for suicide is alarming. Although school counselors are often the only professionals with the training to support students’ mental health needs in schools, they are often inaccessible to students to receive long-term mental health counseling services. The American School Counselor Association (ASCA) advocates for school counselors to focus on prevention, short-term intervention, and crisis work rather than long-term counseling given their primary role in other activities such as student planning and systems support (ASCA, 2019). However, the role of school counselors advocated by ASCA is insufficient to meet students’ growing mental health concerns. This article (a) reviews the increasing mental health needs of youth in the United States and (b) presents an appropriate role for school counselors in addressing students’ mental health needs with implications for policy and practice in the United States and abroad.