Despite what you might think, modern PCs are incredibly reliable, at least at the electrical and electronic level. Reliability at the operating system and application software level is another matter entirely, which we'll deal with in coming weeks.
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The most common cause of power supply failures is overheating. Once power supplies get to very high temperatures, the components inside of them fail resulting in unacceptable or no voltage being supplied to the computer components. Power supplies generally overheat due to improper airflow through the unit. This typically is the result of either a failing or failed cooling fan or a blocked air intake. One is fairly easy to detect, but the other is more difficult. As a fan's bearings tend to wear out (a precursor to their failure), they produce a greater amount of noise. Often this will be a scraping or high pitched tone. If your power supply is showing these audible signs, its best to take the time and money to replace the power supply. If the fan fails completely, the power supply will likely overheat which can result in greater damage to your components.
As I said at the outset, modern computers are extremely reliable. However, PC Medic can confirm that the most common hardware failure we see is due to defective PSUs. More about PSUs again.
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