First Nations people experience a higher rate of injury death and hospitalization than the other residents of British Columbia (B.C.). As a result of these unique injury patterns, the Pacific Region First Nations and Inuit Health Branch (FNIHB) of Health Canadacommissioned a comprehensive report on the injury trends and patterns among this population. This report brings together mortality and hospitalization data describing injuries among First Nations people in B.C. to compare their injury rates with those ofthe other residents of B.C. The injury trends and patterns among B.C.?s First Nations people are described, as well as the leading causes of injury mortality and hospitalization. Recommendations for the prevention of injury among First Nations people are provided, aimed at organizations and agencies that can support injury prevention through policy, infrastructure, resource and programming. Associated recommendations for communities and families are made available via a series of injury prevention fact sheets.