Alcohol consequences among students remain a public health concern. The attitudes toward alcohol use, psychosocial drinking, and drinking refusal self-efficacy as predictors of alcohol consequences were verified. Using predictive design and survey technique, data from 366 college students, selected through stratified random sampling, were analyzed using multiple regression. Results showed that alcohol consequences was significantly forecasted by the predictors, partially supporting the Theory of Planned Behavior. Future research may explore additional variables and qualitative insights. School leaders may develop programs to strengthen students’ drinking refusal skills.