Youth suicide has increased 256% over the last ten years, & 60% of all Native suicides are between the ages of 15 & 24 years. In this brief manuscript, the author discusses the issues that youth face & how suicidal crises arise. Warning signs of suicide, what to do & what not to do when helping someone in crisis are topics that are also discussed. Smith states that in this time of change for Native peoples, it is the responsibility of everyone to support adolescents in leading fulfilling lives.