Body-Image Dissatisfaction as a Predictor of Suicidal Ideation Among Korean Boys and Girls in Different Stages of Adolescence: A Two-Year Longitudinal Study

Kim, Joo Young; Kim, Hyoung-Soo

doi:10.1016/j.jadohealth.2008.11.017

Cited by 78 publications

(64 citation statements)

References 30 publications

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“…Pike, Hoekb, & Dunnee (2014) have suggested that the level of disturbed eating and body dissatisfaction in South Korea is one of the highest in the world. Prior studies have identified body issues as a trigger for other forms of psychosocial distress in South Korean adolescents specifically, such as suicidal ideation (Kim, 2009; Kim and Kim, 2009; Kim, Cho, Cho, & Lim, 2009), eating disorders (Choi, Choi, Park, Joo, Ga, Ko, & Kim, 2007), and depression (You et al, 2016). …”

Section: Introductionmentioning

confidence: 99%

Weight, gender, and depressive symptoms in South Korea

Brewis

Han

SturtzSreetharan

2017

American J Hum Biol

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ObjectivesObesity consistently predicts depression risk, but the underlying mechanisms are poorly understood. Body concerns are proposed as key. South Korean society is characterized by extremely high levels of explicit weight stigma, possibly the highest globally. Using cross‐sectional Korean 2014 National Health Examination Survey (KNHANES) data, we test this proposition in a nationally representative sample of South Korean adults (N = 5,632).MethodsDepressive symptoms (outcome variable), was based on the PHQ‐9. Weight status (predictor variable), was based on direct measures of height and weight converted to BMI. Weight concern was self‐reported. Mediation analyses tested how weight concern mediated the influence of weight status on depressive symptoms for women and men.ResultsCurrent weight status influenced depressive symptoms in Korean adults, but not always directly. Concerns of being “fat” mediated that relationship. The effect increased significantly as BMI increased within “normal” and overweight/obese categories for women, and in overweight/obese categories for men. Even though women classified as underweight were significantly more depressed than those in other weight categories, there was no similar mediation effect related to weight concerns.ConclusionFor South Koreans, the stress of adhering to social norms and avoiding stigma related to body weight seems to explain the relationship between higher body weight and more depressive symptoms. Women are more vulnerable overall, but men are not immune. This study demonstrates that body concerns help explain why weight predicts depression, and more broadly supports the proposition that widespread weight‐related stigma is a potentially major, if unrecognized, driver of population‐level health disparities.

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Section: Introductionmentioning

confidence: 99%

Weight, gender, and depressive symptoms in South Korea

Brewis

Han

SturtzSreetharan

2017

American J Hum Biol

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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%

“…Previous research suggested a model in which BWP mediated the association between BMI and suicidal ideation or suicide attempts (Eaton et al 2005;Kim and Kim 2009;Whetstone et al 2007) . We, therefore, conducted this study to examine if BMI is associated with suicidal ideation and self-harming behavior in adolescents even after controlling for BWP.…”

Section: Discussionmentioning

confidence: 99%

“…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%

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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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“…Suicidal behavior is an etiologically complex phenomenon predicated on biological, environmental, developmental and learned factors [28][29][30][31]. With BAD, there is a high rate of suicidal risk of approximately 15 percent.…”

Section: Introductionmentioning

confidence: 99%

The impact of obesity on suicidality among female patients suffering from bipolar affective disorder: the indirect role of body dissatisfaction

Pisk

Mihanović

Filipčić

et al. 2017

Alcoholism and Psychiatry Research

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-The aim of study is to evaluate the impact of body dissatisfaction and obesity on suicide attempts in patients suffering from Bipolar Affective Disorder (BAD). The study included a cross-sectional cohort of patients diagnosed with BAD who were treated at Sveti Ivan Psychiatric Hospital in Zagreb. The studied group was composed of female patients in the remission phase of BAD, aged 18 to 65 years. Through evaluation of the Body Mass Index (BMI), patients were divided into two groups: the study group (BMI>30), and a control group (BMI ranging from 18 to 25). Following this segmentation, the patients filled out two questionnaires: a schematic perception test (Figure Rating Scale) to determine body dissatisfaction, and a modified Beck Scale for Suicidal Ideation to determine suicidal intensity. The study established a difference in body dissatisfaction between obese patients and patients with average body weight suffering from BAD. Higher BMI corresponded with higher dissatisfaction with body appearance. In addition, the study determined a statistically significant difference in suicidal intensity according to the Beck scale with regard to the level of satisfaction with body appearance. A significant correlation between dissatisfaction with body appearance and suicidal intensity according to the Beck Scale for Suicidal Ideation indicates that evaluation of dissatisfaction with body appearance could be used in daily clinical work as an indicator for suicidality in patients suffering from BAD. Statistically significant body dissatisfaction and a generally higher level of dissatisfaction, which have been confirmed as predictors of suicidality, were found in obese patients.

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Body-Image Dissatisfaction as a Predictor of Suicidal Ideation Among Korean Boys and Girls in Different Stages of Adolescence: A Two-Year Longitudinal Study

Cited by 78 publications

References 30 publications

Weight, gender, and depressive symptoms in South Korea

Weight, gender, and depressive symptoms in South Korea

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

The impact of obesity on suicidality among female patients suffering from bipolar affective disorder: the indirect role of body dissatisfaction

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