Introduction: Suicide is the second major cause of mortality amongst young adults, and medical studentsare vulnerable to suicidal
ideation due to overwhelming distress resulting from academic and non-academic issues. This study aimed to estimate the
prevalence rates of suicide ideation, behavior, and to find out their potential association with different factors among
undergraduate medical students of Umm Al-Qura University, Saudi Arabia. Methods: This cross-sectional study was conducted in
April 2021 by posting an online survey on social media platforms (WhatsApp) to collect data on participants’ socio-demographics,
and a validated English version of the Columbia-suicide severity rating scale (C-SSRS) to assess suicidal ideation and behavior as
well as the Copenhagen Burnout Inventory (CBI) scale to measure the level of burnout. Results: A total of 346 subjects responded to
the questionnaire. Among study participants, suicide ideation and attempt was found to be 40.5% and 9.2%, respectively. Binary
logistic regression revealed that students with a history of psychiatric disorders, high burnout, smokers, and those who had
parental neglect were associated with higher risk of suicidal ideation (p < 0.05). The single greatest risk factor predisposing to
suicidal ideation was smoking. This was followed by previous psychiatric disorders and parental neglect. Conclusions: High
prevalence of suicide ideation and attempts was demonstrated among medical students. Mental health program should be
provided to reduce suicidal tendencies among undergraduate medical students.
Keywords: Suicide Ideation, Burnout, Suicide Attempt.