The most direct cause was a lack of necessary and consistent funding.

The school itself is the direct cause of this sexism.

Did it start on its own with no direct cause?

"This was the direct cause of the shooting," the report said.

They took over the house and are the direct cause of her parents mental breakdown.

Age is not a direct cause of arthritis, but as you get older you're more likely to have symptoms.

She was in fact, the direct cause of his death.

I, at least, was the direct cause of my mother's death.

Ground movement during an earthquake is seldom the direct cause of death or injury.

Notice that for James chance is not the direct cause of actions.