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Background: Implicit identification with death, measured by the Death–Suicide‐Implicit Association Test (D/S‐IAT), has been found to predict long‐term suicide risk among adolescents. However, previous studies did not examine the predictive utility of D/S‐IAT on short‐term suicide risk trajectories among adolescents, especially during the critical period following discharge from the emergency room (ER) due to suicide behaviors. Objective: This study examined the ability of the D/S‐IAT to discriminate and predict suicide risk trajectories during the month following initial suicide risk assessment, among adolescents recently discharged from the ER. Methods: One hundred and fifteen adolescents aged 9–18 years (77.4% female) were assessed at clinic intake. All participants completed D/S‐IAT and self‐report measures for suicide risk, depression, and anxiety during intake and 1‐month follow‐up. Results: The D/S‐IAT distinguished and predicted participants with continued heightened suicide risk at follow‐up, above and beyond depression, anxiety, and suicide risk level at intake. Conclusions: Along with conventional measures, D/S‐IAT may be utilized to predict short‐term suicide risk during post‐ER discharge. [ABSTRACT FROM AUTHOR]