<p>This research project was an exploratory mixed method study that explored risk and protective factors associated with Black women’s experiences with perinatal suicidal ideations. The sample included adult women who identified as Black and had experienced suicidal thoughts during pregnancy or postpartum (<i>n</i> = 9). Participants completed an electronic survey consisting of 54 total questions and the 30-item Racial Trauma Scale (RTS). Through their responses, most respondents reported being worried about a loved one’s safety and feeling that the world is unsafe. The respondents also felt that healthcare neglects the needs of Black women. The implications of these findings for clinical social work are that racism and discrimination create chronic stress upon Black pregnant women and their providers, resulting in poor health outcomes and stressful service delivery interactions. Therefore, improved screening and communication between providers and patients will have a positive impact on perinatal mental health in the Black community.</p>