Link This paper highlights the higher risk of suicidal behavior among lesbian, gay, and bisexual (LGB) youth. This higher risk may well extend to transgender (T) youth. Additionally, the paper provides recommendations to reduce this risk by addressing stigma and prejudice at the institutional and individual level; by forming partnerships across youth-serving, suicide prevention, and LGBT youth agencies; by building on recent advances in research; and by responding to the issues of LGBT youth. To write the paper, the authors reviewed relevant up-to-date literature and researched current services for LGBT youth. Youth, for the purposes of this paper, is defined as between ages 15 and 24. Drafts of the paper were reviewed by LGBT youth and experts with relevant interests. Overview of the Data on Suicide Attempts Among LGB Youth • Remafedi and colleagues (Remafedi, French, Story, Resnick, & Blum, 1998) found that 28.1 percent of gay or bisexual males in grades 7 through 12 had attempted suicide at least once during their lives, while only 4.2 percent of heterosexual males in those grades had attempted suicide. The corresponding percentages for females were 20.5 percent for lesbian or bisexual females and 14.5 percent for heterosexual females. Social Environment Although the social environment itself has not been defined as a risk factor for suicide, widespread discrimination against LGBT people, heterosexist attitudes, and gender bias can lead to risk factors such as isolation, family rejection, and lack of access to care providers. Risk factors may interact in unhealthy ways—for example, internalized homophobia or victimization may lead to stress, which is associated with depression and substance abuse, which can contribute to suicide risk. This risk may be compounded by a lack of protective factors that normally provide resilience, such as strong family connections, peer support, and access to effective health and mental health providers. In the United States prejudice and discrimination against LGB people are widespread among individuals, and in fact, supported by many religious, social, and government institutions. Homophobia and heterosexism are terms that refer to prejudice against LGB people and reflect prevalent social attitudes that most people have internalized (McDaniel et al., 2001).