Authors - Arianna Cobb, Vishnu Kumar Abstract - Teen suicide remains a significant public health concern in the Unit ed States, with substantial geographic variation across counties. Understanding how socio-environmental and healthcare access factors relate to suicide risk can help identify communities that may benefit from targeted interventions. This study aims to support this effort by analyzing county-level teen suicide patterns using K-means clustering, an unsupervised machine learning technique. A da taset of 248 U.S. counties with reported teen suicide data was constructed using five-year aggregated suicide crude rates (2019-2023) alongside multiple socio environmental and healthcare indicators, including hospitalization rates, mental health provider availability, primary care provider rates, social association rates, uninsured population percentages, poverty levels, food insecurity, and rural population share. K-means clustering was then applied to identify county-level risk profiles. The results reveal two distinct county groups: one characterized by lower suicide rates, greater healthcare provider availability, stronger social as sociations, and lower socioeconomic disadvantage; and another characterized by higher suicide rates, reduced healthcare access, higher poverty and food in security, and greater rural residency. These findings highlight meaningful coun ty-level disparities and demonstrate the utility of machine learning approaches to identify regional risk profiles associated with teen suicide. The results may help inform public health strategies and policy efforts aimed at prioritizing re sources and expanding mental health services in high-risk communities.