New research from the Trevor Project shows that LGBT+ youth from American Indian and Alaskan Native backgrounds are 2.5 times more likely to report a suicide attempt in the past year, compared to their LGBT+ peers. American Indian and Alaskan Native youth who reported facing discrimination were also at greater risk of suicide, but supportive families and LGBT-affirming schools can reduced the suicide risk by nearly 60 per cent. LGBT+ American Indian and Alaskan Native youth are also significantly more likely to experience housing instability, food insecurity and foster care. Nearly half of the American Indian and Alaskan Native LGBT+ youth identified as transgender, non-binary, or questioning their gender, while 20 per cent identified as Two-Spirit.