This chapter explores the relationship between cultural influences and child and adolescent suicide in several empirical ways. International variations in suicide rates from countries around the world reflect the different social conditions and changes in each country. The current social trends towards large-scale globalization, increased economic security, and the shift towards postmodernist values provide the best perspective for understanding worldwide differences in youth suicide. The prevalence of different methods of suicide varies across societies, reflecting both ease of access and cultural influences. The importance of availability or access to means of self-harm is emphasized by trends in gender-specific suicidal behavior. Differences in child-rearing practices and the quality of child-parent attachments may be an important potential influential on cross-national variations in youth suicide rates. Culture also influences the timing, development, and shape of children's concept of death in general and suicide in particular.