Lifestyle Behaviors and Suicide-Related Behaviors in Adolescents: Cross-Sectional Study Using the 2019 YRBS Data

Li, Xiaozhi; Chi, Guijun; Taylor, Alyx; Chen, Sitong; Menon, Aamir R.; Zhang, Yanjie; Song, Yue; Li, Jinming; Luo, Xun; Zou, Liye

doi:10.3389/fpubh.2021.766972

Cited by 23 publications

(21 citation statements)

References 42 publications

(48 reference statements)

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“…Another study conducted by Li et al reported a reverse link between exercise and suicide plan in American high school students. The results showed that students who never did exercise had approximately 1.31 greater times risk of suicide plan compared to those more frequently engaged in exercise [ 23 ]. Although there was not enough evidence on answering the mechanism of association between exercise and suicide-related behaviors, several potential explanations may exist.…”

Section: Discussionmentioning

confidence: 99%

Regular Exercise with Suicide Ideation, Suicide Plan and Suicide Attempt in University Students: Data from the Health Minds Survey 2018–2019

Ning

Yuan

Zhang

et al. 2022

IJERPH

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Background: Participating in exercise has been frequently recognized as a protective factor of suicide-related outcome (e.g., suicidal ideation) in children and adolescents, albeit with less of a focus on university/college students (especially using nationally representative sample). This study aimed to explore the associations between regular exercise with suicide ideation, plan, and suicide attempts using the data from Health Minds Survey (2018–2019 round). Methods: Using the cross-sectional data from a nationally representative sample (n = 62,026; mean age = 23.1 years) with self-reported information on exercise and the three suicide-related measures, binary logistic regression was used to estimate the associations of exercise with suicide ideation, plans, and attempts, respectively, while controlling for age, gender, being an international student or not, and race/ethnicity. Results: Compared with university students reporting five or more hours for exercise a week, those reporting less were more likely to report yes in terms of suicide ideation and a similar association was also observed in exercise and suicide plan. However, exercise was not significantly associated with suicide attempts. Conclusion: Spending more time exercising may be a protective factor against suicide ideation and plan for university students. Owing to the cross-sectional design nature, our research findings should be further investigated for confirmation or negation.

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Section: Discussionmentioning

confidence: 99%

Regular Exercise with Suicide Ideation, Suicide Plan and Suicide Attempt in University Students: Data from the Health Minds Survey 2018–2019

Ning

Yuan

Zhang

et al. 2022

IJERPH

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“…Li et al [ 21 ], taking advantage of the data from the YRBS in 2019, found that skipping breakfast totally was associated with increased risk of suicidal ideation (OR:1.39, 95%CI: 1.41–1.71), suicide plan (OR: 1.49, 95%CI: 1.12–1.98), and suicide attempt (OR: 1.64, 95%CI: 1.18–2.27). In this study, we used the data of the YRBSs from 2011 to 2019 and found that skipping breakfast was also related to medically serious suicide attempt.…”

Section: Discussionmentioning

confidence: 99%

“…It is possible that intervention for breakfast skipping is necessary in the education of dietary behaviors among adolescents. Although previous studies [ 21 , 22 ] have tended to summarize breakfast consumption into lifestyle behaviors in order to explore the association with suicidality, breakfast consumption itself—as an indispensable meal and a source of nutrients—might play an important role in nutritious factors, and therefore should not be ignored.…”

Section: Discussionmentioning

confidence: 99%

Section: The Effect Of Breakfast Skipping On Suicidalitymentioning

confidence: 99%

“…The evidence of the association between breakfast consumption and suicidality is limited. One study focusing on lifestyle and suicide-related behaviors in adolescents reported that skipping breakfast totally was related to suicidal ideation, suicide plans, and suicide attempts [ 21 ]; however, dose–response evidence related to breakfast consumption with suicidality is lacking, and whether the associations were affected by age and/or sex remains unknown. Another study taking advantage of the method of latent class analysis adopted breakfast consumption as a factor of healthy lifestyle to explore the association with suicidality and found that the lowest engagement in health-promoting behaviors, including skipping breakfast, was related to suicidality [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

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The Serial Mediation of the Association between Breakfast Skipping and Suicidality by Weight Status and Depressive Symptoms: Findings from the National Youth Risk Behavior Surveys of the United States

2022

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Background: The evidence is limited for the dose–response association between breakfast skipping and suicidality. The underlying pathway from breakfast skipping to suicidality has also rarely been explored in previous studies. Methods: The data of Youth Risk Behavior Surveys (YRBSs) of the United States from 2011 to 2019 were used with a sample size of 74,074. The male: female ratio was nearly 1:1. Binary logistic regression models with complex sampling design were adopted to show the effect of breakfast skipping on weight status, depressive symptoms, and suicidality. Serial mediation was used to explore the association between breakfast skipping and suicidality by overweight/obesity and depressive symptoms. Findings: The weighted prevalence rates (95% confidence interval) of suicidal ideation, suicide plan, suicide attempt, and medically serious suicide attempt for skipping breakfast totally (0 times/week) were 25.6% (24.4–26.8%), 21.7% (20.5–22.9%), 14.2% (13.0–15.3%), and 5.3% (4.6–5.9%). Breakfast skipping was significantly associated with increased risk of suicidal ideation, suicide plan, suicide attempt, and medically serious suicide attempt. There was statistical significance for the linear dose–response association between breakfast skipping and overweight/obesity, depressive symptoms, and suicidality regardless of sex and age. A serial mediation with effect sizes between 39.68% and 51.30% for the association between breakfast skipping and suicidality by overweight/obesity and depressive symptoms was found in this study. Conclusions: This study emphasizes the hazards of breakfast skipping, which could increase the risk of suicidality among adolescents. Overweight/obesity and depressive symptoms as the mediating factors for the association between breakfast skipping and suicidality should also be with more attention.

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Racial/ethnic differences in the bullying victimization‐suicidality link among LGBQ high school students in the United States

Hong,

Valido,

Espelage

et al. 2024

American J of Comm Psychol

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Although the relationship between bullying victimization and suicidal behaviors of lesbian, gay, bisexual, transgender, and questioning (i.e., unsure of their sexual orientation) students has been well documented in research, few studies have focused on how bullying victimization might be related to suicidal behaviors among youth with intersectional identities. This study examines associations between bullying victimization and suicidal behaviors across racial/ethnic groups in a sample of lesbian, gay, bisexual, and questioning (LGBQ) students. Data for this cross‐sectional study were derived from the Center for Disease Control and Prevention's Youth Risk Behavior Survey combined data set (2003–2019), with a sample of 95,603 students who identified as LGBQ. Analyses included descriptive statistics and logistic regression. We found that homophobic bullying victimization was associated with higher odds of suicidal ideation and plans among the total sample and Black and Hispanic students. School‐based bullying victimization was associated with higher odds of suicidal ideation, plans, and attempts among white and Hispanic students and higher suicidal ideation among multiracial–non‐Hispanic students. Cyberbullying victimization was not associated with suicidal behavior among Asian students, but it was associated with all forms of suicidal behavior among youth of other racial/ethnic identities. Addressing bullying victimization and suicidality with culturally relevant, evidence‐based violence prevention strategies is critical.

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Lifestyle Behaviors and Suicide-Related Behaviors in Adolescents: Cross-Sectional Study Using the 2019 YRBS Data

Cited by 23 publications

References 42 publications

Regular Exercise with Suicide Ideation, Suicide Plan and Suicide Attempt in University Students: Data from the Health Minds Survey 2018–2019

Regular Exercise with Suicide Ideation, Suicide Plan and Suicide Attempt in University Students: Data from the Health Minds Survey 2018–2019

The Serial Mediation of the Association between Breakfast Skipping and Suicidality by Weight Status and Depressive Symptoms: Findings from the National Youth Risk Behavior Surveys of the United States

Racial/ethnic differences in the bullying victimization‐suicidality link among LGBQ high school students in the United States

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