This case involves a 19-year-old female college student who committed suicide in her dorm room in November of her sophomore year. The student had no history of mental illness prior to arriving at college and was physically healthy. A year before her death, the student sought out guidance from the college counseling center for stress management. Within the first month the student began seeing a counselor, she was put on anti-depressants. The counselor continued to increase the dosage of antidepressants over the course of the year, during which time the student developed worsening symptoms of anxiety and depression. On the night of her death, the student called the suicide hotline at the college and spoke with the psychologist on call. The student mentioned all her symptoms and verbalized that she was “at a low” and feeling suicidal. The school psychologist asked her to hold off until the next morning and asked the student to promise not to hurt herself. After getting off the phone, the student hung herself. An expert in suicide prevention with particular experience treating college-age patients was sought to review the case and determine whether the college was negligent in its suicide prevention protocol.