Alcohol Abuse in College Students: The Dangers, Warning Signs, and Prevention Tips

Last Updated: August 7, 2019

Alcohol Abuse in College Students

Alcohol abuse is a common feature of the college “party culture,” as we can see in movies, on TV, and in the news with regularity.

What many college students don’t know is just how dangerous alcohol abuse is, and just how quickly abuse can turn into alcoholism.

College students can avoid the devastating consequences of alcohol addiction if they are educated about the dangers and warning signs, as well as ways to avoid unhealthy behavior. However, not so many of them ask the question “What is alcoholism?” to their friends, family, and themselves.

How Common is Alcohol Abuse in College Students?

Four out of every five college students experiment with alcohol in college. 40% of all college students ages 18 to 22 have engaged in binge drinking and about 12% of college students ages 18 to 22 binge drinking on five or more occasions per month.

What Are the Effects of College Alcoholism?

College alcoholism can negatively affect a student’s performance in class, get them in trouble with the law, lead to addiction, and even endanger their lives.

The NIAAA reports that 1 in 4 college students experience poor performance in school due to alcohol, especially among binge drinkers who binge drank at least three times per week.

Poor performance in school

When college students use alcohol, the quality of their schoolwork can suffer dramatically. Roughly one in four college students say they have suffered academic consequences due to drinking; this includes missing class, doing poorly on an exam or assignment, falling behind in completion of assignments, and receiving lower grades in general. Alcohol causes a college student’s grades to fall in several ways:

  • A student decides to drink instead of turning his or her attention toward studying
  • A student experiences a hangover after drinking and oversleeps or decides not to attend class
  • A student’s hangover causes him or her not to address other responsibilities such as completing homework assignments of projects

Alcohol and Academic Performance

Criminal activity and legal troubles

When under the influence of alcohol, a person may commit crimes that he or she would never dare to if sober because of impaired judgment.

Researchers estimate that 110,000 students aged from 19 to 24 are arrested each year for an alcohol-related offense, such as public drunkenness or driving under the influence.

Alcohol use and vandalism among college students

In a 1991 study of 12,651 U.S. college students conducted by the Towson University Campus Violence Prevention Center, researchers found that out of students who admitted to destroying or damaging campus property, 60 percent of those students also said they were under the influence of alcohol at the time. A different study in 1991 of 4,845 students from 68 U.S. colleges and universities found that one in ten students had engaged in vandalism in the past year. Furthermore, almost 25 percent of students classified as heavy drinkers reported engaging in vandalism.

Alcohol use and theft among college students

Based on information gathered by University of Albany’s School of Criminal Justice Hindelang Criminal Justice Research Center in a study conducted between 1995 and 2002, out of students who reported experiencing theft involving force or the threat of force in and around their college campus, an average of 38% of students surveyed said that alcohol was involved in the incident.

Drunk driving behaviors among college students

The results of a 2010 study conducted by researchers at the Center on Young Adult Health and Development at the University Of Maryland School Of Public Health produced the following conclusions:

  • At ages 19 and 20, approximately 19 percent of college students reported that they had driven drunk in the past year. In the two years following their 21st birthdays, this number of college students who admitted to driving drunk in the past year rose to 23.5%.
  • When students were 19 and 20 years old, an average of 45% reported that they had driven a vehicle after consuming alcohol within the past year. In years 21 and 22, more than six out of every ten students surveyed reported driving after drinking alcohol.
  • At 19 and 20 years of age, two out of every five college students reported having ridden in a vehicle with a driver who was drunk in the past year. At ages 21 and 22, throughout the year, half of all college students had ridden in the car with a drunk driver.

The average cost of getting a DUI, or Driving Under the Influence charge, (OVWI, or Operating a Vehicle While Intoxicated, in some states) in the United States ranges anywhere from $5,000 to more than $20,000. However, this cost does not include that of lost lives if the drunk driving incident results in a fatal accident. A DUI conviction always includes fees and the suspension of one’s driver’s license and can include jail time and probation.

Also, college students who are convicted of a DUI may:

  • Be placed on enrollment suspension
  • Lose student housing opportunities
  • Lose scholarships and/or financial aid
  • Be expelled from the university

Becoming a victim of a violent assault

Researchers estimate that each year, 696,000 college students between the ages of 18 and 24 are assaulted by another student who has been drinking.

Based on information gathered by the University of Albany’s School of Criminal Justice Hindelang Criminal Justice Research Center in a study conducted between 1995 and 2002:

  • Out of students who reported experiencing threats of physical violence in and around their college campus, on average, nearly half (48%) of the students said that alcohol was involved in the incident.
  • Out of students who reported experiencing actual physical violence in and around their college campus throughout the seven years, an average of 57% said that alcohol was involved in the incident.

Becoming a victim of sexual assault

Consuming alcohol puts college students at a higher risk of sexual abuse. Drinking alcohol causes a person to become less aware of his or her surroundings, lose the ability to think clearly, and lowers levels of physical coordination which makes it more difficult for that person to defend oneself against an attack or assault. According to a nationwide Washington Post-Kaiser Family Foundation poll, 25% of female college students and 7% of male college students reported they had been subject to unwanted sexual advances during their time at school. Two-thirds of these victims had been drinking alcohol around the time of the incidents.

Other unplanned sexual encounters

Because consuming alcohol lowers a person’s inhibitions, a college student is more likely to engage in sexual activity if he or she has been drinking than if he or she had not been drinking. Alcohol consumption can lead to life-changing consequences including the contraction of a sexually transmitted disease (STD) or an unplanned pregnancy.

Alcohol Abuse on College Campuses

Alcohol-related injuries and other health issues

When college students engage in drinking, they are putting both their safety and their health in grave danger. Alcohol consumption affects the body in some ways that can easily lead to injury:

  • Loss of balance, which can result in falls
  • Impaired vision, which can cause someone to misjudge distances, resulting in a lack of physical coordination
  • Decreased motor skills, which affect a person’s ability to react to dangerous events or situations promptly
  • Drowsiness, which can cause people to fall asleep in situations where being alert is imperative to their safety, e.g., driving
  • Increase in confidence, which can cause a person to put him- or herself in dangerous situations to impress onlookers

Alcohol-related injuries can include cuts, bruises, fractured or broken bones, muscle sprains, concussions, and more serious injuries like ones resulting from an automotive accident. Alcohol also thins the blood, making it more difficult to stop bleeding in a person who has been injured.

More than 150,000 college students develop an alcohol-related health problem every year with beer addiction being an urgent problem. If the drinking binge habits that start when a person is in college continue at an increased rate, or even if they stay the same, over time the body will likely suffer from things like

  • Loss and death of brain cells
  • High blood pressure
  • Heart complications including arrhythmia, heart disease, heart attack, and stroke
  • Liver damage
  • Stomach ulcers
  • Sexual impotence
  • Lowered immune system

Developing alcoholism

Any college student who abuses alcohol is at a much higher risk of becoming an alcoholic.

Alcoholism is a serious addiction that creates a range of legal, financial, professional, and family problems for individuals who develop this dependency. Seeing as the human brain is not fully developed until a person is in his or her mid- to late-twenties, alcohol abuse can have extremely damaging effects that may hinder a college student’s brain from reaching full development. As a result, the longer a college student’s alcohol abuse problem goes unaddressed, the harder it will be for him or her to beat alcoholism later on in life.

Unexpected death

Alcohol-related injuries that lead to death

Researchers estimate that approximately 1,825 college students die annually due to unintentional alcohol-related injuries, included automotive accidents.

Alcohol poisoning

Alcohol poisoning is another risk college students face, especially when they participate in a large amount of alcohol over a short period—so much so that their blood alcohol level is considered to be toxic. A person becomes incapacitated, and if he or she does not receive treatment relatively soon, death occurs.


Alcohol and depression treatment is a dangerous combination. It is possible for college students who suffer from forms of depression or anxiety to feel an increased sense of distress and hopelessness when consuming alcohol. Because alcohol use decreases a person’s overall decision-making abilities, a person who suffers from depression or other mental illness may be more prone to attempt or commit suicide under the influence of alcohol.

How Do College Students Become Alcoholics?

Reasons Why College Students Begin to Binge Drink

The transition from high school to college is a difficult one for many young adults. The first six weeks of school are crucial in determining how a college student will adapt to the pressures of meeting new people, fitting in with a new group of peers, possible homesickness, and other sources of stress. Unfortunately, many college students turn to alcohol to alleviate the pressures of fitting into this new environment.

Increased Availability of Alcohol based on:

Where they live

  • College students who live on campus (in dormitory and residence halls) are at high risk of alcohol abuse because of the alcohol-centric culture that pervades some college campuses. This is especially true for:
    • schools with Greek life (fraternities, sororities)
    • schools where sports are a large part of the college’s culture
    • schools in the northeast
  • College students who live in their own apartment, especially close to campus, are also at a high risk of alcohol abuse simply because it may be their first real taste of “freedom”; a person who has been living under the rules of his or her parents may feel the need to experiment with drugs or alcohol simply because he or she can. Without parents around to deter this behavior, college students often allow their alcohol use to get out of hand.
  • College students who live with their parents are less likely to develop an alcohol abuse problem that those who do not.

These Factors Can Create Abstinence-Hostile Environment For College Students

Social gatherings where the main focus is alcohol

It is not uncommon, to say the least, for events or gatherings organized by college students (not school-related) to have alcohol openly available to all who attend, even those below the legal drinking age. Students may feel pressured in some way, if not directly then implicitly, to drink if they want to fit in with their new peers.

More unstructured free time

Another reason college students start drinking and binge drinking is because many of them, especially those who are now living away from home, now have large amounts of unstructured free time and less “adult” supervision. This newfound freedom causes some students to experiment with things that were previously forbidden to them, such as alcohol or other illegal substances.

Coping strategies for increased pressure and adult-like responsibilities

Conversely, some students take on an array of additional responsibilities when they leave their parents’ homes; they may now have to pay rent and other bills and may be required to find a part-time or full-time job to pay those expenses. The new responsibilities may include:

  • Being responsible for rent, bills, groceries, etc.,
  • Taking classes that now bear greater consequences, financially and academically, if failed or not completed, and
  • Potential roommate/household conflict (whereas sibling rivalries would have most likely been mediated by a parent),
The introduction of multiple sources of stress all at once can sometimes cause college students to develop alcohol abuse problems as an unhealthy way of dealing with these adult-like pressures.

How College Binge Drinking and Alcohol Abuse Turns into Alcoholism?

Approximately 20% of college students meet the medical criteria for having an Alcohol Use Disorder, which includes alcohol abuse and alcohol dependence. Not all college students who binge drink end up becoming alcoholics, but they are only a step or two away from developing alcoholism, also known as alcohol dependence.

How College Binge Drinking and Alcohol Abuse Turns into Alcoholism?

Binge drinking, or episodic drinking, is a form of alcohol abuse typically defined as having five or more drinks on any one occasion (usually within a two- to three-hour period). More recently, however, the National Institute on Alcohol Abuse and Alcoholism (NIAAA) has defined binge drinking as a pattern of drinking that brings blood alcohol concentration (BAC) levels to .08 g/dL; typically, this is accomplished within five drinks for men, and four drinks for women, otherwise known as the “the 5/4 definition.”

The National Survey on Drug Use and Health defines heavy drinking as having five or more drinks on one occasion at least five times within the past month. The Center for Disease Control (CDC) and NIAAA define heavy drinking, or “high-risk drinking,” as having more than eight drinks for women and more than 15 drinks per week for men.

A study published by researchers from San Diego State University’s Department of Psychology and The Scripps Research Institute found that young college students who engage in binge drinking on more than three occasions within a two-week period are statistically 19 times more likely to develop alcoholism than non-binge drinkers.

How To Prevent College Students from Alcohol Abuse?

Regrettably, there is no 100-percent-guaranteed way to prevent college students from alcohol abuse. However, parents and educators can help prepare students for the culture shock of entering college by educating them about the consequences of alcohol abuse and teaching students about alternative ways to cope with stress. Colleges and universities can help curb alcohol abuse by setting appropriate examples, providing alternative recreational activities, and establishing consequences for alcohol abuse.

Alcohol Education

Parents and schools should educate adolescents and teens about the dangers of alcohol as soon as it is appropriate. Often the only things that young adults know about alcohol is what the media shows them: the party scene, people dancing, laughing, and having an amazingly fun time. If a college student knows the real consequences of drinking alcohol and alcohol abuse, he or she may be less likely to develop a problem. Adult children of alcoholics need an additional attention.

Stress Management Education

Stress is a huge reason that many people, including college students, develop an alcohol dependency. If college students are taught different ways to deal with stress, they may be less likely to seek out alcohol for its mind-numbing effects which only temporarily eliminate worries or troublesome thoughts.

Creating a New Campus Culture

Because alcohol consumption on college campuses is partially a culture issue, The Department of Education has suggested a number of strategies for colleges and universities to implement that could help alter the local culture of their own campuses in a way that shifts students’ focus toward other things and decreases tolerance of alcohol use around campus in general while eliminating the triggers of alcohol abuse in students:

  • Keeping the library and recreational facilities open longer
  • Providing a range of alcohol-free social and recreational activities
  • Restricting all form of alcohol product advertisement on campus and in campus publications, including eliminating alcohol-related sponsorships for athletic teams
  • Forming partnerships or with local communities and establishments to ensure alcohol is not served to minors
  • Disciplining parents of a student who has repeatedly violated campus rules or laws regarding alcohol use

What to Do If a College Student Has Become an Alcoholic?

How can one tell if a college student has developed an alcohol abuse or alcohol dependency problem?

Signs of alcohol abuse:

  • Decreasing self-control over how much he or she drinks
  • Student makes questionable decisions that often have legal, financial, or health-related consequences for the sake of alcohol
  • Student begins to neglect normal responsibilities, often resulting in grade changes and decreases in academic performance
  • A shift in sleep patterns ranging from insomnia to oversleeping
  • Student begins to spend time in new social circles with others who have histories of alcohol abuse

What to Do If a College Student Has Become an Alcoholic?

Signs of alcohol dependence, or alcoholism:

  • Student develops a tolerance i.e., consumes the same amount of alcohol as usual, but now, it affects him or her less, or, consumes more alcohol to produce the same
  • Student spends increased amounts of time drinking and increased amounts of time in recovery from the effects of drinking (more frequent/severe hangovers)
  • Student begins to withdraw from family and previous friend groups, often exhibiting secretive or sneaky behavior to hide how much he or she is drinking
  • Student stops tending to responsibilities related to school, work, and family life
  • Uncharacteristic changes in mood such as depression and irritability
  • Unsuccessful attempts to “cut back” on drinking or quit drinking altogether
  • Has trouble maintaining meaningful relationships

If any of these signs become apparent in a college student, friends and family members should take it upon themselves to talk to the student about his or her drinking habits, and what will likely happen if he or she continues to abuse alcohol. It is also important to figure out the real causes of alcohol abuse.

Unfortunately, not all college students will be willing to listen or accept that they have a problem.

In this situation, if friends and family see the problem as being severe, they may want to organize a professional intervention. Parents can talk to the family doctor for recommendations, or seek out the help of counselors at a nearby treatment center. Another resource for finding professional interventionists is the Association of Intervention Specialists. Though parents and friends may be tempted to conduct an intervention on their own, someone who is not a professional interventionist may easily be overcome with emotions, decreasing the event’s chances of success. Contact the center for alcohol and drug treatment for help and counsel. Professional counselors will offer the alcoholism treatment options according to evidence-based procedures, and will offer support to parents who may be hesitant to confront their son or daughter because they do not want their child to feel “attacked.”

If the intervention resonates with the college student, sometimes support from friends and family may be enough to help the student curb his or her drinking problem.

In some cases, though, treatment may be the best option to help a college student get his or her alcohol abuse problem under control. 


Marixie Ann Manarang-Obsioma

Content Writer

Marixie Ann Manarang-Obsioma is a licensed Medical Technologist (Medical Laboratory Science) and an undergraduate of Doctor of Medicine (MD). She took her Bachelor’s Degree in Medical Technology at Angeles University Foundation and graduated with flying colors.

The combination of having a good medical background, being a mom, and wanting to help people, especially the elderly has cultivated her passion for working in remote areas with love and compassion.
Marixie likes to travel, read, and watch movies.

Medical review by Brian Obodeze

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