The present study examined emotion dysregulation, coping drinking motives, and alcohol-related problems as predictors and consequences of alcohol-involved sexual assault (AISA). A convenience sample of 424 college women completed confidential surveys on paper and online. Data were collected at baseline (T1), weekly for 10 weeks (T2-10), and at 1 year (T11). The cross-sectional and longitudinal associations among variables were examined in a cross-lagged panel model. Within each time point, all variables were correlated. Drinking to cope and emotion dysregulation predicted AISA in the short term (within 10 weeks), alcohol problems increased risk for AISA in the long term (within 1 year), and AISA history predicted AISA revictimization regardless of time frame. Drinking to cope and alcohol-related problems predicted future victimization, but their impact seems to fluctuate over time. Coping drinking motives were both a predictor and consequence of AISA, suggesting a cyclical pattern. However, additional analyses indicated that coping drinking motives and alcohol problems might act as suppressors in the model. Overall, findings indicate that interventions focused on improving emotion regulation skills may decrease short-term risk for AISA.