Suicidal behavior in adolescents: Relationship to weight status, weight control behaviors, and body dissatisfaction

Crow, Scott J.; Eisenberg, Marla E.; Story, Mary; Neumark‐Sztainer, Dianne

doi:10.1002/eat.20466

Cited by 143 publications

(123 citation statements)

References 23 publications

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“…Strong associations have been found between suicide ideation and suicide attempts, and extreme dieting behaviours in a large US adolescent sample (Neumark-Sztainer et al, 1998). More recently, extreme weight control behaviours (e.g., diet pills, self-induced vomiting, laxative use) and less extreme EXTREME DIETING BEHAVIOURS 5 weight control behaviours (e.g., fasting, food restriction, smoke more cigarettes) were found to be associated with higher rates of suicidal ideation and suicide attempts in adolescents (Crow et al, 2008). Similarly, weight control behaviours are independently associated with suicidal thoughts and behaviours in adolescents (Kim et al, 2011).…”

Section: Abstract: Extreme Dieting Behaviours; Psychosocial Correlatementioning

confidence: 94%

Gender differences and correlates of extreme dieting behaviours in US adolescents

2015

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This paper examined correlates of and gender differences in extreme dieting behaviours (EDBs) among 15,425 US adolescents from the 2011 Youth Risk Behavior Survey. Suicidal thoughts and plans, and binge drinking were related to EDBs in females, but not in males.Suicide attempts, daily smoking, and marijuana use were related to EDBs in males, but not females. Results suggest EDBs are associated with a range of negative psychosocial factors and substance use behaviours, and that these differ for boys and girls. Additional research is required to elucidate these relationships, and these results provide a focus for future research, prevention and intervention efforts. Keywords: Extreme dieting behaviours; Psychosocial Correlates; Youth Risk BehaviorSurvey (YRBS); Gender Differences. EXTREME DIETING BEHAVIOURS 3 Adolescents are at an increased risk of engaging in unhealthy or extreme weight control behaviours due to an enhanced concern over body shape and weight (Findlay, 2004, Thøgersen-Ntoumani et al., 2010. Unhealthy weight control behaviours can range from the reduction of food intake and skipping meals (Patton et al., 1997, Neumark-Sztainer et al., 2011 to more extreme behaviours such as vomiting and the consumption of laxatives (Crow et al., 2006) (Cruz-Sáez et al., 2013). Gender is known to be an important factor in disordered eating behaviours, but less is known about the underlying reasons for observed gender differences. Recent nationally representative figures suggest that in US high school students 61% of girls and 32% of boys are trying to lose weight; 12% reported fasting, 5% reported diet pill consumption, and 4% reported vomiting or laxative use (Eaton et al., 2012). Weight control behaviours are a public health concern due to their negative consequences, including increased risk of continuing the behaviour into early adulthood (Neumark-Sztainer et al., 2011), and increased risk of weight gain, obesity onset and eating disorder onset (Liechty and Lee, 2013). Efforts are, therefore, needed to identify the factors associated with extreme weight control behaviours. Both the associated factors of extreme dieting behaviours and the behaviours themselves should be addressed during adolescence to enhance prevention efforts. Many factors may contribute to these behaviours; however, associations with victimization, suicidal thoughts and behaviours, depressive symptoms, body weight perceptions, and psychoactive drug use have been shown in previous research to be of importance and are further examined in this study.Previous research suggests an association between unwanted sexual experiences, such as those involving psychological or physical pressure, and disordered eating in adolescents (Capitaine et al., 2011). For example, in a large sample of US adolescents, an association between physical abuse from a partner and extreme weight control behaviours was found, with participants reporting dating violence and rape being more likely to report EXTREME DIETING BEHAVIOURS 4 vomiting, and the use of diet pil...

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Section: Abstract: Extreme Dieting Behaviours; Psychosocial Correlatementioning

confidence: 94%

Gender differences and correlates of extreme dieting behaviours in US adolescents

2015

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“…Though these factors have been demonstrated to be important predictors of suicidal ideation in people with low BMI (Cook et al 2007;Crow et al 2008;Kim and Kim 2009), no assessment was done with regard to these variables in our survey. Fifthly, reliability and validity of the questionnaire used to assess the BWP is yet to be confirmed, though the questionnaire is commonly used and seems to have good face validity.…”

Section: Discussionmentioning

confidence: 91%

“…Nevertheless, several studies have indicated that the association between BMI and suicidal ideation or self-harming behavior can be mediated or confounded by body weight perception (BWP) in adolescents (Brausch and Gutierrez 2009;Crow et al 2008;Kim and Kim 2009;Orbach et al 2001) . In other words there may be no direct association or causal relationship between BMI and suicidal ideation or behavior among this generation.…”

Section: Introductionmentioning

confidence: 99%

Not only Body Weight Perception but also Body Mass Index is Relevant to Suicidal Ideation and Self-Harming Behavior in Japanese Adolescents

Kinoshita¹,

Kinoshita²,

Shimodera³

et al. 2012

Journal of Nervous &Amp; Mental Disease

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was modified according to the reviewer's comment. *Response to ReviewersAbstract Purpose: Whether a low body mass index (BMI) is directly associated with high risk of suicidal ideation or self-harming behavior in adolescents is still inconclusive. This study has, therefore, evaluated the relevance of BMI to suicidal ideation and self-harming behavior after controlling for body weight perception (BWP) and other potential confounding factors.Methods: BMI, BWP, suicidal ideation and self-harming behavior were all assessed using a self-report questionnaire administered to 18,104 Japanese adolescents. Potential confounding factors were also evaluated. The data were then analyzed using bivariate and multivariate logistic regression.Results: Low BMI was associated with suicidal ideation and deliberate self-harm when controlling for sex, age, drug use, emotional distress and BWP.Conclusions: Low BMI may be an independent risk factor for suicidal ideation and deliberate self-harming behavior in Japanese adolescents.

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“…Community based studies in adolescents found relationships between ED psychopathology and suicidal ideation, and between SIB and suicide attempts (Miotto et al, 2003;Brunner et al, 2007;Crow et al, 2008;Neumark-Sztainer et al, 1998;Rodriguez-Cano et al, 2006). An association between ED psychopathology and suicidality has been reported across various clinical and community based samples of adolescent patients.…”

Section: Relationship Between Eds Sib and Suicidal Behaviourmentioning

confidence: 99%

Self Injurious Behavior in Adolescent Girls with Eating Disorders

Ohmann¹,

Popow²

2012

Relevant Topics in Eating Disorders

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Suicidal behavior in adolescents: Relationship to weight status, weight control behaviors, and body dissatisfaction

Cited by 143 publications

References 23 publications

Gender differences and correlates of extreme dieting behaviours in US adolescents

Gender differences and correlates of extreme dieting behaviours in US adolescents

Not only Body Weight Perception but also Body Mass Index is Relevant to Suicidal Ideation and Self-Harming Behavior in Japanese Adolescents

Self Injurious Behavior in Adolescent Girls with Eating Disorders

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