Background:  The global burden of Type 1 diabetes (T1DM) was found about 8 million individuals worldwide: of these 1·5 million (18%) were younger than 20 years. The Prevalence of suicidal thoughts is 16.2% among individuals with type 1 diabetes compared to 9.2% in the general population. The Egyptian Four-step Integrative Model aims to fulfill the four psychological functions in a healthy way which includes:  needs, wants, decisions and rights. The best way describes this model is as an integration of many psychological schools. This study aims to evaluate effect of Four-step Model on suicide risk in diabetic children with Correlation between suicide and depression among diabetic children. Methods: Our study included 34 diabetic children. Children were evaluated for suicide using ASQ scale and for depression using Birleson DSRS before and after group psychotherapy. Diabetic children underwent of psychotherapy sessions using the Four Step Integrative Model for six months. Results: There is a significant improvement in both depression and suicide after attending the Four-step group psychotherapy. Also, there is positive statistically significant correlation between suicide and depression. Conclusion: Our study showed that Four-step Integrative Model of group psychotherapy can have a positive effect on suicide risk in children with T1DM.