This study examined the effects of financial stress, parental expectation and test anxiety on suicidal ideation in pre-medical students. For this purpose, a cross-sectional research design was used, and data were collected through a non-probability sampling technique. The sample consisted of 425 pre-medical students. Our results indicate a strong and positive association between parental expectation and suicidal ideation (β = 0.272; t = 3.573; p < 0.000). Likewise, entrance test exam anxiety has a positive association with suicidal ideation among pre-medical students (β = 0.394; t = 3.933; p < 0.000). Lastly, there is a significant and positive association between financial threat and suicidal ideation (β = 0.185; t = 2.539; p < 0.011). The findings of the study emphasize the importance of implementing preventative measures to address the mental health issues faced by pre-medical students, with the ultimate goal of creating an environment conducive to their comprehensive development and academic success.