Compared to the general population, American Indians are experiencing an alarmingly increased rate of suicide, which some estimate at 50% higher than other ethnic groups. On the campuses of some tribal colleges, things look equally bleak, with 15% of students reporting that they seriously considered suicide over the past 12 months. While the reasons for this tragedy are myriad and complex--and much remains to be done--some tribal colleges in New Mexico, Montana, Nebraska, and North Dakota, are facing the crisis head-on, instituting prevention programs designed to reach students before they even set foot on campus. Culture-specific programs are pivotal for the success of suicide prevention at tribal colleges; research indicates that students who are more culturally and spiritually connected exhibit fewer suicidal tendencies. By engaging the community at large and incorporating cultural traditions, a tribal college can go a long way toward ensuring its students will seek help when they need it. (Contains 3 resources.)