diff --git a/lib/clear-suggestions.js b/lib/clear-suggestions.js
index 15b9080c..6c95f7ab 100644
--- a/lib/clear-suggestions.js
+++ b/lib/clear-suggestions.js
@@ -6,5 +6,6 @@ function clearSuggestions(state) {
   state.selectedIndex = -1;
   removeListElement(state);
   state.input.removeAttribute("aria-controls");
+  state.input.removeAttribute("aria-activedescendant");
   state.plete.setAttribute("aria-expanded", "false");
 }
diff --git a/lib/highlight.js b/lib/highlight.js
index e54ab339..a16f070d 100644
--- a/lib/highlight.js
+++ b/lib/highlight.js
@@ -5,6 +5,7 @@ function highlight(state, index) {
     const item = state.list.querySelectorAll("plete-item")[index];
     if (item) {
       item.classList.add("highlight");
+      state.input.setAttribute("aria-activedescendant", item.id);
     }
   }
 }
diff --git a/lib/render.js b/lib/render.js
index 447fcb13..5cf9b9d5 100644
--- a/lib/render.js
+++ b/lib/render.js
@@ -9,7 +9,8 @@ function render(state, data) {
   addListElement(state, select);
   const boundRenderItem = renderItem.bind(null, state);
 
-  data.map(boundRenderItem).forEach(function(item) {
+  data.map(boundRenderItem).forEach(function(item, idx) {
+    item.id = `plete-item-${idx}`;
     state.list.appendChild(item);
   });
 
diff --git a/test/aria-support.test.js b/test/aria-support.test.js
index 899b8486..cadc7bf7 100644
--- a/test/aria-support.test.js
+++ b/test/aria-support.test.js
@@ -1,4 +1,4 @@
-import { assert } from "@sinonjs/referee-sinon";
+import { assert, refute } from "@sinonjs/referee-sinon";
 import { fireEvent, waitForElement } from "@testing-library/dom";
 import { setupTest } from "./test-helper";
 
@@ -47,6 +47,32 @@ describe("Plete", function() {
         });
       });
 
+      it("adds an `aria-activedescendant` attribute to the input", function() {
+        const listItems = this.list.querySelectorAll("plete-item");
+
+        assert.isTrue(listItems.length > 0);
+        refute.isNull(this.input);
+        refute.isNull(this.input.getAttribute("aria-activedescendant"));
+      });
+
+      it("renders the list items with an `id` attribute", function() {
+        const listItems = this.list.querySelectorAll("plete-item");
+
+        assert.isTrue(listItems.length > 0);
+        listItems.forEach(function(item) {
+          refute.isNull(item.getAttribute("id"));
+        });
+      });
+
+      it("`aria-activedescendant` attribute corresponds to an `id` attribute of another DOM node", function() {
+        const listItems = this.list.querySelectorAll("plete-item");
+
+        assert.isTrue(listItems.length > 0);
+        refute.isNull(this.input);
+        const activeDescendant = this.input.getAttribute("aria-activedescendant");
+        refute.isNull(document.getElementById(activeDescendant));
+      });
+
       it("sets `aria-expanded` on the `plete` element to 'true'", function() {
         const plete = this.input.closest("plete");