Abstract: Objective To know the understanding of death among clinical medical students and the influencing factors of their attitude towards death. Methods From January to February 2023,1 019 students from four grades（class of 2019 to 2022） of clinical medicine in medical colleges of Xinxiang City were randomly selected as the research objects. The death attitude scale,entering into society and escaping from society scale,short form perceived stress scale,meaning in life scale,and general situation survey were used to understand their attitude towards death,and the data were analyzed. Results The scores of attitude to death were （37.93±4.19）points in urban students and （36.92±4.97）points in rural students;（35.36±4.75）points in 2022 grade students,（38.16±4.97）points in 2021 grade students,（37.91±4.34）points in 2020 grade students,（38.16±3.92）points in 2019 grade students; （35.21±5.10）points in 18 year sold students,（37.52±4.51）points in 19 year sold students,（38.17±4.65）points in 20 year sold students,（37.14±4.24）points in 21 year sold students,（38.38±4.45）points in 22 year sold students. There were statistically significant differences in the scores of attitude to death among clinical medical students in different places of origin,grades and ages（all P<0.05）. The perceived stress,and entering into society factor scores were positively correlated with death attitude scores（all P<0.05）. The grade,life meaning experience,self-efficacy belief,escaping from society scores were negatively correlated with death attitude scores（all P<0.05）. Conclusions The clinical medical students of lower age,lower grade,and in rural areas are more rational when facing death. The perceived stress,entering into society experience,grade,life meaning experience,self-efficacy belief,escaping from society attitude are the main influencing factors of attitude towards death. The higher the levels of perceived stress and the attitude towards entering into society,more rational attitude towards death. The lower levels of grade,life meaning experience,self-efficacy belief,escaping from society,more rational attitude towards death.

Key words: Attitude towards death, Clinical medicine students, Perceived stress