Fifty-two female sexual abuse victims aged 12 to 17 years old were interviewed as part of a research project. They were recruited in three different settings : Centre jeunesse de Montreal, Centre jeunesse de la Montérégie and Centre d’intervention en abus sexuel pour la famille (CIASF) in Gatineau. The aim of the project was to document the prevalence of suicidal ideations in the sample and to explore the coping strategies (seeking social support, problem-solving and avoidance/distanciation) used by participants to face the sexual abuse. Moreover, the relationship between coping strategies and the presence/absence of suicidal ideations was investigated. Results indicate that sexually abused adolescents who present high suicidal intent differ from non-suicidal or low intent suicidal participants with regards to coping strategies used to face the sexual abuse. Finally, in light of the results, therapeutic implications are discussed to guide clinical workers who intervene with teenagers displaying this double problem (sexual abuse and suicidal thoughts).