The encounter with a suicidal person in social work is both inevitable and highly anxiety-provoking for the practitioner. However, suicide prevention training in social work programs is not mandatory, neither at the bachelor’s nor master’s level. Suicide prevention relies on individualized and arbitrary choices of either schools, departments, or even professors themselves. This inconsistency should concern the discipline of social work at two levels. First, it is detrimental to the psychological and physical integrity of the suicidal or distressed person when they meet with a social worker. Second, it is detrimental to the psychological integrity of the social worker as they are challenged with a situation that presents a high risk of self-harm. Social work education needs to be mended accordingly. This article is a detailed teaching narrative on a structured, peer-based simulation aiming at improving suicide prevention training among social work students. It explores how this model brings to the forefront a rich and complex interaction between knowledge, skills acquisition, and self-regulation in response to suicidal distress.