School environment, physical activity, and sleep as predictors of suicidal ideation in adolescents: Evidence from a national survey

Abstract

Introduction: Suicide is the second leading cause of death among individuals between 10 and 34 years of age and suicidal ideation substantially increases during adolescence. The purpose of this study was to examine the associations among physical activity, sleep, and factors relating to the school environment with adolescent self-reported rates of suicidal ideation on the 2017 National Risk Behavior Survey (YRBS). Methods: A multi-stage cluster sampling procedure was employed to yield a representative sample of US adolescents recruited from the 9th through 12th grade. The number of sampled adolescents was 18,324 with 10,125 students submitting questionnaires with useable data for this study. Weighted logistic regression models were employed to examine the predictive utility of physical activity, sleep, and factors related to the school environment with suicidal ideation, adjusting for age, sex, and BMI percentile. Results: Meeting physical activity guidelines every day of the week (OR 0.62, 95% CI: 0.51-0.76), hours of sleep (OR 5.46, 95% CI: 4.21-7.09), and factors relating to the school environment including bringing weapons to school (OR 2.06, 95% CI: 1.24-3.41), perceived school safety (OR 1.59, 95% CI: 1.27-2.00), and being bullied (OR 3.23, 95% CI: 2.71-3.87) and buying illegal drugs at school (OR 1.92, 95% CI: 1.63-2.27) all significantly independently predicted suicidal ideation. Conclusions: Physical activity, sleep, and the school environment significantly predict suicidal ideation among this national sample of adolescents. These factors should be considered when designing interventions or programs to reduce the risk of suicidal ideation among adolescents.

Analisis Perbandingan Motivasi Belajar Siswa Dan Intensitas Gerak Pada Model Pembelajaran Taktis Dan Teknis Pada Permainan Invasi

“…Another study shows novelty in testing the enjoyment of physical activity as a mediator of the social and physical environment in the physical activity of early adolescents based on female gender. This study shows the contribution of the existing literature by identifying several social and physical environmental factors associated with pleasure in physical activity (Budd et al, 2018;Pfledderer, Burns, & Brusseau, 2019). Physical education in secondary schools provides valuable experience and structured physical activity programs (McLennan & Thompson, 2015;Bechter, Dimmock, & Jackson, 2019).…”

Family and School Context: Effects on the Mental Health of Brazilian Students

“…Risky behaviors can develop as unhelpful coping strategies for adolescents with poor mental health and can severely impact their mental well-being [5,8,10,13]. Therefore, it is necessary to pay attention to the quality of an adolescent's relationships within these settings to reduce negative experiences and improve their well-being [14]. The mental health of adolescents is increasingly recognized as an area of priority for public health policies, because it is essential for the future health of the entire population [5,15].…”

Physical activity, sedentary, and dietary behaviors associated with indicators of mental health and suicide risk

“…The Guidelines also indicate that moderate to strong evidence shows that physical activity reduces the risk of depression and depressive symptoms ( US Department of Health and Human Services, 2018 ). In a recent study, an association was found between not meeting the physical activity guidelines and increased suicide ideation ( Pfledderer et al, 2019 ). This is also supported by a meta-analysis finding that physical activity is a promising method for reducing suicide ideation ( Vancampfort et al, 2018 ).…”