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

Scott J. Crow · Marla E. Eisenberg · Mary T. Story · Dianne Neumark‐Sztainer

166 citations0/0 files storedInternational Journal of Eating Disorders

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Eating Disorders and Behaviors Suicide and Self-Harm Studies Nutrition, Health and Food Behavior

Abstract

OBJECTIVE: Suicide is associated with full syndromal eating disorders, but it is unclear whether subsyndromal eating disorders carry the same risk. This study examined associations between suicidal behaviors and extreme and less extreme weight control behaviors (EWCB and LWCB, such as fasting, vomiting, meal skipping, etc.), body dissatisfaction, and weight status in adolescents. METHOD: Data on body dissatisfaction, depressive symptoms, suicidal ideation and attempts, and body mass index (BMI) were drawn from Project EAT, a survey of 4,746 7th-12th grade students. Multivariate logistic regression examined associations between eating- and weight-related variables and suicidality. RESULTS: Suicidal ideation and suicide attempts were more commonly observed in adolescents with EWCB (boys: ideation OR = 2.12, attempts OR = 4.10; girls: ideation OR = 1.66, attempts OR = 2.29), LWCB (boys: ideation OR = 1.33, attempts OR = 1.76; girls: ideation OR = 1.77, attempts OR = 1.80), as well as body dissatisfaction (boys: ideation OR = 1.75, attempts OR = 2.23; girls: ideation OR = 1.77, attempts OR = 1.81), even after controlling for depressive symptoms. No association was observed between BMI and suicidal attempts or ideation. CONCLUSION: Thus, it appears that suicidal behavior in adolescents is associated even with low-level eating disorder symptoms.

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References

1997Suicide as an outcome for mental disorders 2003Body image: a handbook of theory, research, and clinical practice 1982Epidemiology of Depressive Mood in Adolescents 2004Body image dissatisfaction among males across the lifespan 2002Weight-Related Concerns and Behaviors Among Overweight and Nonoverweight Adolescents 2002Ethnic/racial differences in weight-related concerns and behaviors among adolescent girls and boys 2002Vulnerability and resiliency to suicidal behaviours in young people 1997Gender Differences in Body Satisfaction

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