Background: In India, the number of occupational therapy practitioners currently working in mental health settings is lower than most other specialities. The attitudes of students influence their interest in any field and their desire for working in it. The attitudes of undergraduate occupational therapy students towards mental health and psychiatry are examined, and the influence of attitudes on future career choices is explored. Objectives: To examine the attitudes of Indian undergraduate occupational therapy students towards mental health and psychiatry, and to explore the differences in attitudes across different years of study, gender, resulting from personal experiences, and educational coursework, and to examine if the attitudes influence future career choices. Study Design: Cross-sectional survey Method: Permission was obtained from heads of institutions of 14 occupational therapy colleges and the survey link was sent. In order to obtain a representative sample, the link was also shared on social groups. The purpose of the study, voluntary participation and confidentiality were explained on the landing page. The subsequent sections consisted of the demographic questionnaire, the Attitudes towards Psychiatry (ATP-30) Questionnaire and the Career Preferences Questionnaire. A total of Four Hundred and Two responses were obtained within the stipulated period. Statistical analysis was performed, and the odds ratio using logistic regression and Pearson correlation were determined. Results: Gender and contact with persons with mental illness were significant predictors of positive attitudes towards psychiatry. Females are 5.387 times more likely to have positive attitudes towards psychiatry. (OR=5.387, 95% CI 2.101 to 13.814, P=0.000). Furthermore, those in contact with persons with mental illness are 2.883 times more likely to have positive attitudes towards psychiatry. (OR=2.883, 95% CI 1.076 to 7.724, P=0.035). Moderately high positive correlations existed between attitudes towards psychiatry and career preference in psychiatry. Conclusions: Overall, positive attitudes were found. Significant correlations were seen across the domains of the ATP-30 and career preference in psychiatry. Female students are five times more likely to have positive attitudes than male students. Those in contact with persons with mental illness were almost thrice more likely to have positive attitudes than those without any contact. [ABSTRACT FROM AUTHOR]