The research on college student suicide is discussed, with emphasis on variability in base rates, the operating assumptions regarding reported base rates, and methodological difficulties in studying suicide. Variability in suicide among schools and among different types of students is examined, and the effects of changing demographics and cultural influences on rates and patterns of college student suicide and suicidality are reviewed. Recommendations for therapists and others promoting mental health on campus are made, suggestions for future research are outlined, and the need for required reporting of suicide statistics is asserted.