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The effect of perceived body weight on suicidal ideation among a representative sample of US adolescents

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Abstract

There is no published report on the sex differences in the prospective influence of perceived body weight on suicidal ideation in adolescents. To examine sex differences in the longitudinal relationship between perceived body weight and suicidal ideation among a representative sample of US middle and high school students. Two waves of longitudinal data from 7th–12th grade US adolescents (N = 4,717) in the National Longitudinal Study of Adolescent Health were analyzed using hierarchical multivariable logistic regression for suicidal ideation 1 year after perceived body weight was measured. Overweight perception significantly increased the risk for suicidal ideation in girls (adjusted odds ratio in the full model = 1.41, p < .05) but not in boys after controlling for previously well-documented risk factors of suicidal ideation. Overweight perception appears to increase the risk for suicidal ideation in girls. It is important to address perceived body weight among girls in suicide prevention interventions.

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References

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.

    Article  PubMed  CAS  Google Scholar 

  • Beautrais, A. L., Joyce, P. R., & Mulder, R. T. (1998). Psychiatric illness in a New Zealand sample of young people making serious attempts. New Zealand Medical Journal, 111, 44–48.

    PubMed  CAS  Google Scholar 

  • Brausch, A. M., & Muehlenkamp, J. J. (2007). Body image and suicidal ideation in adolescents. Body Image, 4, 207–212.

    Article  PubMed  Google Scholar 

  • Brent, D. A., & Mann, J. J. (2005). Family genetic studies, suicide, and suicidal behavior. American Journal of Medical Genetics Part C, Seminars in Medical Genetics, 133, 13–24.

    Article  Google Scholar 

  • Bridge, J. A., Goldstein, T. R., & Brent, D. A. (2006). Adolescent suicide and suicidal behavior. Journal of Child Psychology and Psychiatry, 47, 372–394.

    Article  PubMed  Google Scholar 

  • Daniel, S. S., Goldston, D. B., Erianli, A., Franklin, J. C., & Mayfield, A. M. (2009). Trait anger, anger expression, and suicide attempts among adolescents and young adults: a prospective study. Journal of Clinical Child & Adolescent Psychology, 38, 661–671.

    Article  Google Scholar 

  • Dave, D., & Rashad, I. (2009). Overweight status, self-perception, and suicidal behaviors among adolescents. Social Science and Medicine, 68, 1685–1691.

    Article  PubMed  Google Scholar 

  • Eaton, D. K., Lowry, R., Brener, N. D., Galuska, D. A., & Crosby, A. E. (2005). Associations of body mass index and perceived weight with suicide ideation and suicide attempts among US high school students. Archives of Pediatrics and Adolescent Medicine, 159, 513–519.

    Article  PubMed  Google Scholar 

  • Garrison, C., Addy, C., Jackson, K., McKeown, R. E., & Waller, J. L. (1991). The CES-D as a screen for depression and other psychiatric disorders in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 636–641.

    Article  PubMed  CAS  Google Scholar 

  • Gould, M. S., King, R., Greenwald, S., Fisher, P., Schwab-Stone, M., Kramer, R., et al. (1998). Psychopathology associated with suicidal ideation and attempts among children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 915–923.

    Article  PubMed  CAS  Google Scholar 

  • Groholt, B., Ekeberg, O., Wichstrom, L., & Haldorsen, T. (2000). Young suicide attempters: a comparison between a clinical and an epidemiological sample. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 868–875.

    Article  PubMed  CAS  Google Scholar 

  • Hallfors, D. D., Waller, M. W., Ford, C. A., Halpern, C. T., Brodish, P. H., & Iritani, B. (2004). Adolescent depression and suicide risk: Association with sex and drug behavior. American Journal of Preventive Medicine, 27, 224–230.

    PubMed  Google Scholar 

  • Hosmer, D. W., & Lemeshow, S. (2000). Model-building strategies and methods for logistic regression. In Applied logistic regression (2nd ed., pp. 91–142). Hoboken, NJ: Wiley.

  • Jones, D. C., Vigfusdottir, T. H., & Lee, Y. (2004). Body image and the appearance culture among adolescent girls and boys: An examination of friend conversations, peer criticism, appearance magazines, and the internalization of appearance ideals. Journal of Adolescent Research, 19, 323–339.

    Article  Google Scholar 

  • Kim, D. S., Cho, Y., Cho, S. I., & Lim, I. S. (2009). Body weight perception, unhealthy weight control behaviors, and suicidal ideation among Korean adolescents. Journal of School Health, 79, 585–592.

    Article  PubMed  Google Scholar 

  • Knauss, C., Paxton, S. J., & Alsaker, F. D. (2008). Body dissatisfaction in adolescent boys and girls: Objectified body consciousness, internalization of the media body ideal, and perceived pressure from media. Sex Roles, 59, 633–643.

    Article  Google Scholar 

  • Kuczmarski, R. J., Ogden, C. L., Guo, S. S., Grummer-Strawn, L. M., Flegal, K. M., Mei, Z., et al. (2002). 2000 CDC growth charts for the United States: Methods and development. Vital and Health Statistics, 11, 1–190.

    Google Scholar 

  • Littleton, H. L., & Ollendick, T. (2003). Negative body image and disordered eating behavior in children and adolescents: What places youth at risk and how can these problems be prevented? Clinical Child and Family Psychological Review, 6, 51–66.

    Article  Google Scholar 

  • Mamun, A. A., Cramb, S., McDermott, B. M., O’Callaghan, M., Najman, J. M., & Williams, G. M. (2007). Adolescents’ perceived weight associated with depression in young adulthood: A longitudinal study. Obesity, 15, 3097–3105.

    Article  PubMed  Google Scholar 

  • Mazza, J. J., & Reynolds, W. M. (1998). A longitudinal investigation of depression, hopelessness, social support, and major and minor life events and their relation to suicidal ideation in adolescents. Suicide and Life Threatening Behavior, 28, 358–374.

    PubMed  CAS  Google Scholar 

  • McCabe, M. P., & Ricciardelli, L. A. (2001). Parent, peer, and media influences on body image and strategies to both increase and decrease body size among adolescent boys and girls. Adolescence, 36, 225–240.

    PubMed  CAS  Google Scholar 

  • Piccinelli, M., & Wilkinson, G. (2000). Gender differences in depression: Critical review. British Journal of Psychiatry, 177, 486–492.

    Article  PubMed  CAS  Google Scholar 

  • Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general public. Applied Psychological Measurement, 1, 385–401.

    Article  Google Scholar 

  • Reifman, A., & Windle, M. (1995). Adolescent suicidal behaviors as a function of depression, hopelessness, alcohol use, and social support: A longitudinal investigation. American Journal of Community Psychology, 23, 329–354.

    Article  PubMed  CAS  Google Scholar 

  • Ricciardelli, L. A., & McCabe, M. P. (2011). Self-esteem and negative affect as moderators of sociocultural influences on body dissatisfaction, strategies to decrease weight, and strategies to increase muscles among adolescent boys and girls. Sex Roles, 44, 189–207.

    Article  Google Scholar 

  • Rierdan, J., & Koff, E. (1997). Weight, weight-related aspects of body image, and depression in early adolescent girls. Adolescence, 32, 615–624.

    PubMed  CAS  Google Scholar 

  • Roberts, R., Lewinshon, P., & Seely, J. (1991). Screening for adolescent depression: A comparison of depression scales. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 58–66.

    Article  PubMed  CAS  Google Scholar 

  • Sieving, R. E., Beuhring, T., Resnick, M. D., Bearinger, L. H., Shew, M., Ireland, M., et al. (2001). Development of adolescent self-report measures from the National Longitudinal Study of Adolescent Health. Journal of Adolescent Health, 28, 73–81.

    Article  PubMed  CAS  Google Scholar 

  • Smolak, L., Murnen, S. K., & Thompson, J. K. (2005). Sociocultural influences and muscle building in adolescent boys. Psychology of Men & Masculinity, 6, 227–239.

    Article  Google Scholar 

  • Swahn, M. H., Reynolds, M. R., Tice, M., Miranda-Pierangeli, M. C., Jones, C. R., & Jones, I. R. (2009). Perceived overweight, BMI, and risk for suicide attempts: Findings from the 2007 Youth Risk Behavior Survey. Journal of Adolescent Health, 45, 292–295.

    Article  PubMed  Google Scholar 

  • Swallen, K. C., Reither, E. N., Haas, S. A., & Meier, A. M. (2005). Overweight, obesity, and health-related quality of life among adolescents: The National Longitudinal Study of Adolescent Health. Pediatrics, 115, 340–347.

    Article  PubMed  Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (2007). Logistic regression. In Using multivariate statistics (5th ed., pp. 437–505). Boston, MA: Pearson.

  • Turner, C. F., Ku, L., Rogers, S. M., Pleck, J. H., & Sonenstein, F. L. (1998). Adolescent sexual behavior, drug use, and violence: Increased reporting with computer survey technology. Science, 280, 867–873.

    Article  PubMed  CAS  Google Scholar 

  • Udry, J. R. (1998). The National Longitudinal Study of Adolescent Health (Add Health), Waves I & II, 1994–1996 [Machine-readable data file and documentation]. Chapel Hill, NC: Carolina Population Center, University of North Carolina at Chapel Hill.

    Google Scholar 

  • Weissman, M. M., Wolk, S., Goldstein, R. B., Moreau, D., Adams, P., Greenwald, S., et al. (1999). Depressed adolescents grown up. Journal of the American Medical Association, 281, 1707–1713.

    Article  PubMed  CAS  Google Scholar 

  • Whetstone, L. M., Morrissey, S. L., & Cummings, D. M. (2007). Children at risk: The association between perceived weight status and suicidal thoughts and attempts in middle school youth. Journal of School Health, 77, 59–66.

    Article  PubMed  Google Scholar 

  • Wichstrom, L. (2000). Predictors of adolescent suicide attempts: a nationally representative longitudinal study of Norwegian adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 603–610.

    Article  PubMed  CAS  Google Scholar 

  • Xu, J., Kochanek, K. D., Murphy, S. L., & Tejada-Vera, B. (2010). Deaths: Final data for 2007. National Vital Statistics Reports, 58, 1–136.

    Google Scholar 

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Authors and Affiliations

  1. Department of Applied Health Science, Indiana University, 1025 E. 7th Street, Bloomington, IN, 47405, USA

    Dong-Chul Seo & Chung Gun Lee

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  1. Dong-Chul Seo
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  2. Chung Gun Lee
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Correspondence to Dong-Chul Seo.

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Seo, DC., Lee, C.G. The effect of perceived body weight on suicidal ideation among a representative sample of US adolescents. J Behav Med 36, 498–507 (2013). https://doi.org/10.1007/s10865-012-9444-y

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  • DOI: https://doi.org/10.1007/s10865-012-9444-y

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