This report builds on & expands a 1998 economic burden study by SmartRisk. In 2004, injuries cost Canadians $19.8 billion & 13,667 lives. The direct costs were $10.72 billion & indirect costs were $9.06 billion. Suicide/self-harm was the leading causes of all injury deaths in Canada in 2004. The total direct & indirect costs of suicide/self-harm were $2.4 billion. The analysis underlying this report was conducted from a societal perspective, using an incidence costing, human capital approach. Data tables are provided for Canada as a whole and the individual provinces.