The practice of screening students to identify behavioral and emotional risk is gaining momentum, with limited guidance regarding the frequency with which screenings should occur. Screening frequency decisions are influenced by the stability of the constructs assessed and changes in risk status over time. This study investigated the 4-year longitudinal stability of behavioral and emotional risk screening scores among a sample of youth to examine change in risk status over time. Youth (N = 156) completed a self-report screening measure, the Behavioral and Emotional Screening System, at 1-year intervals in the 8th through 11th grades. Categorical and dimensional stability coefficients, as well as transitions across risk status categories, were analyzed. A latent profile analysis was conducted to determine if there were salient and consistent patterns of screening scores over time. Stability coefficients were moderate to large, with stronger coefficients across shorter time intervals. Latent profile analysis pointed to a three-class solution in which classes were generally consistent with risk categories and stable across time. Results showed that the vast majority of students continued to be classified within the same risk category across time points. Implications for practice and future research needs are discussed.