Traditionally I have always used an ID column in SQL (mostly mysql and postgresql).
However I am wondering if it is really necessary if the rest of the columns in ea
You should have one column in every table that is unique.
EDITED...
This is one of the fundamentals of database table design. It's the row identifier - the identifier identifies which row(s) are being acted upon (updated/deleted etc). Relying on column combinations that are "unique", eg (first_name, last_name, city), as your key can quickly lead to problems when two John Smiths exist, or worse when John Smith moves city and you get a collision.
In most cases, it's best to use a an artificial key that's guaranteed to be unique - like an auto increment integer. That's why they are so popular - they're needed. Commonly, the key column is simply called id, or sometimes . (I prefer id)
If natural data is available that is unique and present for every row (perhaps retinal scan data for people), you can use that, but all-to-often, such data isn't available for every row.
Ideally, you should have only one unique column. That is, there should only be one key.