The eleventh NAIP Bulletin is the first of a series of bulletins focusing on indicators of alcohol consumption and related harms among Indigenous Australians. This bulletin documents trends in alcohol-attributable harms among Indigenous Australians between 1998-2004. An estimated 1145 Indigenous Australians died from alcohol-attributable injury and disease in that period, mostly due to suicide and alcoholic liver cirrhosis. Annual figures and rates are presented for all states and territories.