Associations of Body Mass Index and Lifestyle Factors with Suicidal Ideation, Planning, and Attempts Among Korean Adolescents: A Cross-Sectional Study.

IF 2.4 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Haitao Wang, Kyung-O Kim
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引用次数: 0

Abstract

Background: Unhealthy lifestyles constitute significant risk factors for adolescent suicide, and their detrimental effects may persist from adolescence into adulthood. This research study sought to examine how Body Mass Index (BMI), alongside various lifestyle behaviors among teenagers in Korea, correlates with suicidal thoughts, the formulation of suicide plans, and actual suicide attempts.

Methods: The research examined unprocessed information collected during the 2022 Korean Youth Risk Behavior Web-based Survey (KYRBS), which was administered by the Korea Disease Control and Prevention Agency (KDCA). Lifestyle factors associated with suicidal behavior were selected as independent variables. The sample was stratified according to BMI for further analysis. Logistic regression models were applied to assess the association between lifestyle factors and the risk of adolescent suicide.

Results: The analysis identified significant correlations between unhealthy dietary patterns, hazardous drinking behavior, smoking, and a sleep duration of less than 5 h, all of which were associated with a heightened suicide risk among adolescents. Notably, underweight adolescents who had a sleep duration of less than 5 h demonstrated a markedly elevated risk of suicidal ideation (OR = 2.391, 95% CI [1.035-5.525]). Among overweight adolescents, frequent coffee consumption was significantly associated with both suicidal planning (OR = 1.850, 95% CI [1.133-3.020]) and suicide attempts (OR = 1.958, 95% CI [1.024-3.742]). Importantly, hazardous drinking behavior was strongly associated with suicide attempts (OR = 2.277, 95% CI [1.132-4.580]). Non-smoking behavior exhibited a significant relationship with a decreased likelihood of suicidal ideation (OR = 0.706, 95% CI [0.507-0.983]) and suicidal planning (OR = 0.528, 95% CI [0.299-0.930]). Furthermore, among obese adolescents, non-smoking behavior significantly decreased the risk of suicidal ideation compared to smoking (OR = 0.514, 95% CI [0.297-0.887]).

Conclusions: The study revealed that the combined impact of unhealthy behaviors-smoking, eating an unhealthy breakfast, sleeping for less than 5 h, and hazardous drinking behavior-significantly affect suicide-related behaviors in adolescents. The interaction between BMI and lifestyle factors is a critical determinant of these behaviors. Specifically, sleep health exerts a substantial influence on suicide-related behaviors in underweight adolescents, while smoking strongly correlates with suicidal behaviors in overweight and obese adolescents. Targeted attention to the interplay of smoking, diet, sleep, and alcohol consumption with BMI is crucial for the early detection and prevention of adolescent suicide.

体质指数和生活方式因素与韩国青少年自杀意念、计划和企图的关联:一项横断面研究。
背景:不健康的生活方式构成青少年自杀的重要风险因素,其有害影响可能从青春期持续到成年。该研究旨在调查韩国青少年的身体质量指数(BMI)以及各种生活方式行为与自杀念头、自杀计划的制定和实际自杀企图之间的关系。方法:研究检查了2022年韩国青少年风险行为网络调查(KYRBS)中收集的未经处理的信息,该调查由韩国疾病控制和预防机构(KDCA)管理。选择与自杀行为相关的生活方式因素作为自变量。根据BMI对样本进行分层,进一步分析。采用Logistic回归模型评估生活方式因素与青少年自杀风险之间的关系。结果:分析确定了不健康的饮食模式、有害的饮酒行为、吸烟和睡眠时间少于5小时之间的显著相关性,所有这些都与青少年自杀风险的增加有关。值得注意的是,睡眠时间少于5小时的体重不足青少年自杀意念的风险显著增加(OR = 2.391, 95% CI[1.035-5.525])。在超重青少年中,频繁饮用咖啡与自杀计划(OR = 1.850, 95% CI[1.133-3.020])和自杀企图(OR = 1.958, 95% CI[1.024-3.742])显著相关。重要的是,危险饮酒行为与自杀企图密切相关(OR = 2.277, 95% CI[1.132-4.580])。不吸烟行为与自杀意念可能性(OR = 0.706, 95% CI[0.507-0.983])和自杀计划(OR = 0.528, 95% CI[0.299-0.930])的降低有显著关系。此外,在肥胖青少年中,与吸烟相比,不吸烟行为显著降低了自杀意念的风险(OR = 0.514, 95% CI[0.297-0.887])。结论:研究表明,吸烟、吃不健康的早餐、睡眠不足5小时和危险的饮酒行为等不健康行为的综合影响显著影响青少年的自杀相关行为。BMI和生活方式因素之间的相互作用是这些行为的关键决定因素。具体而言,睡眠健康对体重不足青少年的自杀相关行为有实质性影响,而吸烟与超重和肥胖青少年的自杀相关行为有很强的相关性。有针对性地关注吸烟、饮食、睡眠和饮酒与BMI之间的相互作用,对于早期发现和预防青少年自杀至关重要。
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来源期刊
Healthcare
Healthcare Medicine-Health Policy
CiteScore
3.50
自引率
7.10%
发文量
0
审稿时长
47 days
期刊介绍: Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.
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