The number-one student risk factor in the minds of most college administrators now is alcohol use, and to a certain extent, the use of other drugs. Alcohol has been a risk factor in a number of prominent student deaths, including the untimely death of Scott Krueger at Massachusetts Institute of Technology (MIT). Alcohol is heavily associated with secondary risks, such as sexual assault and student riots over changes in alcohol policies. Highrisk alcohol use is also a major factor in self-inflicted injury. The Authors anticipate that in the near term, however, attention paid to suicide and other serious forms of self-inflicted injury will continue to increase and that these concerns may begin to gain prominence.