The development and implementation of a new school-based suicide prevention education program in one secondary school in Vancouver, British Columbia, recently provided us with an opportunity to conduct an in-depth, qualitative case study. The purpose of our study was to deepen our understanding of how school-based suicide prevention education programs like this one get planned and enacted in particular, local settings. We argue that the narrow range of methodologies that have traditionally been deployed to study school-based youth suicide prevention education programs have hindered our ability to see the complexities and potentialities of this work. Through the presentation of a sub-set of findings, we aim to show the possibilities for fresh thinking and contextualized understandings that a qualitative case study, informed by a constructionist methodology, invites.