Psychological distress has a deleterious impact on the mental health of college students. The purpose of this study was to specify a theoretical, sense of coherence, and hardiness-based regression model to predict the mental health of college students. The instruments employed to build the model included the Kessler Psychological Distress Scale K-6, the Sense of Coherence-29, and the College Student Hardiness Measure. Data were collected from a sample of college students (n = 220) attending a Midwestern university. Each of the theoretical predictors regressed on mental health was deemed significant. Collectively, the significant predictors produced an R2 adjusted value of 0.434 (p < 0.001), suggesting the final specified model explained 43.4% of the variance in mental health in the sample of participants. Qualitative cut-points were developed for each scale to aid in measurement of health promotion and education interventions designed to improve the mental health of college students.