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Recent research into same-sex attracted youth (SSAY) suicide and rural youth suicide suggests there may be an association between the two. A literature review explores this proposal. While contributing issues to rural SSAY suicide, such as homophobia, isolation, avaibility of information, and acknowledgement of issues are discussed, little hard evidence is found to support the rural and SSAY suicide connection. Further and on-going research is recommended into this under-represented topic.