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To explore the factors influencing mental health and suicidal behaviors of medical students and provide a scientific basis for improving their mental health and reducing their suicidal behaviors. We conducted a questionnaire-based survey among 11 270 medical students in the first and second years at 3 universities in the southern, northern and central regions of a province in China, and 10 340 valid responses were retrieved. Multiple logistic regression was used to analyze the factors affecting anxiety, depression and suicidal behaviors, particula