diff --git a/src/Form/FormAutosuggest.jsx b/src/Form/FormAutosuggest.jsx
index 5fb689b2e8..499f8444ab 100644
--- a/src/Form/FormAutosuggest.jsx
+++ b/src/Form/FormAutosuggest.jsx
@@ -2,6 +2,7 @@ import React, {
   useEffect, useState,
 } from 'react';
 import PropTypes from 'prop-types';
+import { v4 as uuidv4 } from 'uuid';
 import { useIntl } from 'react-intl';
 import { KeyboardArrowUp, KeyboardArrowDown } from '../../icons';
 import Icon from '../Icon';
@@ -38,6 +39,11 @@ function FormAutosuggest({
     errorMessage: '',
     dropDownItems: [],
   });
+  const [activeMenuItemId, setActiveMenuItemId] = useState(null);
+
+  const handleMenuItemFocus = (menuItemId) => {
+    setActiveMenuItemId(menuItemId);
+  };
 
   const handleItemClick = (e, onClick) => {
     const clickedValue = e.currentTarget.getAttribute('data-value');
@@ -63,12 +69,15 @@ function FormAutosuggest({
     let childrenOpt = React.Children.map(children, (child) => {
       // eslint-disable-next-line no-shadow
       const { children, onClick, ...rest } = child.props;
+      const menuItemId = uuidv4();
 
       return React.cloneElement(child, {
         ...rest,
         children,
         'data-value': children,
         onClick: (e) => handleItemClick(e, onClick),
+        id: menuItemId,
+        onFocus: () => handleMenuItemFocus(menuItemId),
       });
     });
 
@@ -219,6 +228,9 @@ function FormAutosuggest({
 
   return (
     <div className="pgn__form-autosuggest__wrapper" ref={parentRef}>
+      <div aria-live="assertive" className="sr-only" data-testid="autosuggest-screen-reader-options-count">
+        {`${state.dropDownItems.length} options found`}
+      </div>
       <FormGroup isInvalid={!!state.errorMessage}>
         <FormControl
           aria-expanded={(state.dropDownItems.length > 0).toString()}
@@ -228,6 +240,7 @@ function FormAutosuggest({
           autoComplete="off"
           value={state.displayValue}
           aria-invalid={state.errorMessage}
+          aria-activedescendant={activeMenuItemId}
           onChange={handleOnChange}
           onClick={handleClick}
           trailingElement={iconToggle}
diff --git a/src/Form/tests/FormAutosuggest.test.jsx b/src/Form/tests/FormAutosuggest.test.jsx
index 8eaafb0e8d..27548704a3 100644
--- a/src/Form/tests/FormAutosuggest.test.jsx
+++ b/src/Form/tests/FormAutosuggest.test.jsx
@@ -85,6 +85,33 @@ describe('render behavior', () => {
 
     expect(formControlFeedback).toBeInTheDocument();
   });
+
+  it('renders component with options that all have IDs', () => {
+    const { getByTestId, getAllByTestId } = render(<FormAutosuggestTestComponent />);
+    const input = getByTestId('autosuggest-textbox-input');
+
+    userEvent.click(input);
+    const optionItemIds = getAllByTestId('autosuggest-optionitem').map(item => item.id);
+
+    expect(optionItemIds).not.toContain(null);
+    expect(optionItemIds).not.toContain(undefined);
+  });
+
+  it('confirms that the value of the aria-live attribute on the wrapper component is assertive', () => {
+    const { getByTestId } = render(<FormAutosuggestWrapper />);
+
+    expect(getByTestId('autosuggest-screen-reader-options-count').getAttribute('aria-live')).toEqual('assertive');
+  });
+
+  it('displays correct amount of options found to screen readers', () => {
+    const { getByText, getByTestId } = render(<FormAutosuggestTestComponent />);
+    const input = getByTestId('autosuggest-textbox-input');
+
+    expect(getByText('0 options found')).toBeInTheDocument();
+    userEvent.click(input);
+
+    expect(getByText('3 options found')).toBeInTheDocument();
+  });
 });
 
 describe('controlled behavior', () => {
@@ -136,6 +163,17 @@ describe('controlled behavior', () => {
     expect(onClick).toHaveBeenCalledTimes(0);
   });
 
+  it('should set the correct activedescendant', () => {
+    const { getByTestId, getAllByTestId } = render(<FormAutosuggestTestComponent />);
+    const input = getByTestId('autosuggest-textbox-input');
+
+    userEvent.click(input);
+    const expectedOptionId = getAllByTestId('autosuggest-optionitem')[0].id;
+    userEvent.keyboard('{arrowdown}');
+
+    expect(input.getAttribute('aria-activedescendant')).toEqual(expectedOptionId);
+  });
+
   it('filters dropdown based on typed field value with one match', () => {
     const { getByTestId, queryAllByTestId } = render(<FormAutosuggestTestComponent />);
     const input = getByTestId('autosuggest-textbox-input');
@@ -187,4 +225,19 @@ describe('controlled behavior', () => {
     const updatedList = queryAllByTestId('autosuggest-optionitem');
     expect(updatedList.length).toBe(0);
   });
+
+  it('updates screen reader option count based on typed field value with multiple matches', () => {
+    const { getByText, getByTestId } = render(<FormAutosuggestTestComponent />);
+    const input = getByTestId('autosuggest-textbox-input');
+
+    expect(getByText('0 options found')).toBeInTheDocument();
+    userEvent.click(input);
+
+    expect(getByText('3 options found')).toBeInTheDocument();
+
+    userEvent.click(input);
+    userEvent.type(input, '1');
+
+    expect(getByText('2 options found')).toBeInTheDocument();
+  });
 });