Fabric suspension frame pole ratchet mechanism. In some embodiments, an example fabric suspension frame may include a pole support side arm, a pole configured to have fabric spooled thereon, and a pole ratchet mechanism. The pole may be configured to be manually rotated in a first rotational direction and a second opposite rotational direction. The pole ratchet mechanism may include a ratchet sleeve attached to the pole, a ratchet slider configured to be positioned in a receiving slot of the pole support side arm, and a ratchet shifter attached to the pole. The ratchet sleeve may define a first set of teeth, and the ratchet slider may define a second set of teeth configured to selectively engage with the first set of teeth. The ratchet shifter may be configured to be manually shifted between an engaged position and a disengaged position.