Objective: Given increases in mental health utilization among college and university students, thisstudy examines clinical and socio-demographic characteristics in students presenting to psychiatricemergency services. Participants: University students (N¼ 725; Mage ¼ 22 years, SD ¼ 4.0; 67%White) visiting psychiatric emergency services at a large academic health system between July 1,2012 and June 30, 2016. Methods: A retrospective review of students' electronic medical records,which included responses to the Columbia-Suicide Severity Rating Scale, was conducted. Results: Levels of suicide risk varied by students' self-identified race. Nonwhite students were more likely to endorse a suicide attempt in the past week and less likely to be taking psychiatric medications than White students. International students were more likely to report a lifetime history of multiple attempts. Conclusions: Disparities related to college student psychiatric emergencies warrant specific attention to specific racial/ethnic groups and international students to reduce and managemental health crises.