Suicide among northern Native Canadian youth is examined. Multidimensional causes include acculturation, resettlement, hopelessness, helplessness, family violence, isolation & vulnerability. It is suggested that young people at risk for suicide experience a pervasive sense of helplessness, hopelessness & isolation that stimulates dysfunctional behaviors. Without effective intervention, suicide becomes a means of escape. Interventions focussing on the individual, family & community are discussed.