Suicide numbers are lower in places with higher incomes, better access to broadband internet, and good health insurance coverage. Unfortunately, those are all factors that are statistically lacking for many Native Americans and Alaska Natives. Development of the nationwide 988 Suicide and Lifeline has improved the persistently high Native suicide rate, and efforts to introduce culturally sensitive prevention and intervention methods are showing promise. As the federal government dissolves much of its support for mental health services and suicide prevention efforts, we’ll highlight some of the work that is making a difference for Native populations.