Despite substantial attention to the problem of suicide among college students over the past several decades, reports on the extent of the problem have been largely inconclusive. This article reviews the findings of major studies of college suicide, noting how variations in campus and student characteristics, as well as inconsistencies in the way student suicides are defined and measured, have limited comparison of conclusions. Current evidence is reviewed that points to significant mental health problems on college campuses and suggests the need for outreach programs to identify students at risk for suicide and encourage them into treatment. One such program under development by the American Foundation for Suicide Prevention is described in detail. Problems related to its implementation are identified and discussed, notably the reluctance of many university officials to know the actual identities of suicidal students.
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