Suicide rates of young Māori considerably exceeded those of young non-Māori in a review of rates of suicide and ‘hidden suicide’ in New Zealand, Australia, Ireland and Spain. Rates of suicide and ‘hidden suicide’ were calculated and compared using estimated population figures and online cause-of-death from 2014 to 2016. Rates of ‘hidden suicide’ were relatively low in all four countries. Suicide rates in New Zealand decreased in late life and peaks of youth suicide were attributed to high rates of Māori youth suicide.