This study examined unintentional & intentional injuries to Alaskan children & teenagers from 1991-94, that resulted in death or admission to a hospital for at least 24 hours. The 5 most frequent causes of injury death were suicide, motor vehicle crash, homicide, drowning & fire. Suicide & suicide attempt statistics distributed by age show that there was a marked increase in suicidal deaths & hospitalization among Alaskan youth. Common methods, means, & reasons for suicidal actions are discussed