Youth violence is a major public health and school counseling concern. Here, we used the data from 20,745 adolescents in 145 schools to examine the structure of youth violence, test effects of risk factors on involvement, and examine whether use of mental health services moderated risk. Results suggest counseling moderated depressive, but not other types, of risk for violence involvement. Implications for counseling practice, threat assessment, and early intervention in schools are identified.