Summit participants were clear in their view that the experiences and needs of trans and Two Spirit youth in particular are in many ways unique and different from those of lesbian, gay and bisexual youth. [...] Resources and toolkits will be most and to the intersectional nature of identity useful when tailored to the unique experiences and discrimination, particularly in relation of each demographic within the broader to those who identify as trans or Two Spirit. [...] The impact of bullying disproportionately affects sexual and gender minority youth (Kim and Leventhal 2008); that is, stigma and discrimination— as forms of victimization—are demonstrably correlated to suicidal ideation and behaviour among LGBTQ youth to a degree that is not true of their non-LGBTQ peers. [...] RECOMMENDATION 16 Resource and implement rigorous evaluation mechanisms and environmental scans to identify and measure the effectiveness of all existing and future LGBTQ-inclusive policies and youth suicide prevention initiatives. [...] Resources are needed to assist these organizations in enhancing their knowledge and cultural competency relating to trans and Two Spirit communities and developing their services to address the unique needs, experiences and challenges of trans and Two Spirit youth.