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A REPORT on former students who entered Harvard University or the University of Pennsylvania from 1926 through 1950 identified a complex of host and environmental characteristics that distinguished eventual suicides from their classmates.1 These characteristics included familial, physical, social, and psychological traits recorded during college years. Dominant among the distinguishing familial characteristics of eventual suicides was paternal deprivation through early loss or death of the father. Physically, the suicides tended to be of average stature (neither short nor tall), weighed less for their height, and were more prone to allergies. Socially, they were more apt to smoke cigarettes, less often joined in extracurricular activities or athletics, and more often became college dropouts. Self-assessed psychological traits revealed configurations of self-consciousness, anxiety, and mood swings. Observations have now been updated and extended to earlier classes at Harvard, affording larger sample size and broader age range of subjects for study of events predisposing to suicide. Precursive characteristics are examined for their individual and collective effects on risk of self-destruction. Parallel analyses are made for former students reported to have died from accidental causes. Similarities and contrasts of the suicides and accident decedents are identified in terms of familial, social, and psychological precursive characteristics.

Chronic disease in former college students. IX. Characteristics in youth that predispose to suicide and accidental death in later life.