Presented in part at the 2006 Eating Disorder Research Society Meeting, Port Douglas, Australia, September 2006.
Suicidal behavior in adolescents: Relationship to weight status, weight control behaviors, and body dissatisfaction†
Article first published online: 5 OCT 2007
Copyright © 2007 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 41, Issue 1, pages 82–87, January 2008
How to Cite
Crow, S., Eisenberg, M. E., Story, M. and Neumark-Sztainer, D. (2008), Suicidal behavior in adolescents: Relationship to weight status, weight control behaviors, and body dissatisfaction. Int. J. Eat. Disord., 41: 82–87. doi: 10.1002/eat.20466
- Issue published online: 3 DEC 2007
- Article first published online: 5 OCT 2007
- Manuscript Accepted: 15 JUL 2007
- suicidal behavior;
- body dissatisfaction;
- eating disorders;
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.
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.
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.
Thus, it appears that suicidal behavior in adolescents is associated even with low-level eating disorder symptoms. © 2007 by Wiley Periodicals, Inc. Int J Eat Disord 2008