Leisure-time sedentary behavior and suicide attempt among 126,392 adolescents in 43 countries.

Journal: Journal of affective disorders

Volume: 250

Issue: 

Year of Publication: 2019

Affiliated Institutions:  KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium; KU Leuven, University Psychiatric Center KU Leuven, Kortenberg, Belgium. Electronic address: davy.vancampfort@kuleuven.be. Physiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London, UK; Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, United Kingdom. Kyambogo University, Kampala, Uganda; Butabika National Referral and Mental Health Hospital, Kampala, Uganda. NICM Health Research Institute, School of Science and Health, University of Western Sydney, Australia; Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia; Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, UK. KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium. The Cambridge Centre for Sport and Exercise Sciences, Department of Life Sciences, Anglia Ruskin University, Cambridge, United Kingdom. Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain; Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr. Antoni Pujadas, Barcelona, Spain.

Abstract summary 

Adolescent suicide is a major global mental health problem. Exploring variables associated with suicide attempts is important for the development of targeted interventions. The aim of the current study was to explore associations between leisure-time sedentary behavior and suicide attempts.Data from the Global School-based Student Health Survey were analyzed. Data on past 12-month suicide attempts and self-reported leisure-time sedentary time were collected. Multivariable logistic regression and meta-analysis were conducted to assess the associations.Among 126,392 students from 43 countries (mean age 13.8 ± 0.96 years; 48.9% female), 10.6% had attempted suicide. The prevalence of suicide attempts increased with increasing sedentary leisure-time per day (from 9% at <1 h/day to 16.8% at >8 h/day). Compared to those engaging in <1 h/day sedentary during leisure-time, there was a dose-dependent increase in odds ratios (ORs) for suicide attempts, with the OR for >8 h/day being 1.45 (95% confidence interval=1.19-1.77).The study is cross-sectional, therefore the directionality of the relationships cannot be deduced.Our data suggest that leisure-time sedentary behavior is associated with increased odds for suicide attempt in adolescence. Future longitudinal data are required to confirm/refute the findings to inform public prevention campaigns.

Authors & Co-authors:  Vancampfort Davy D Stubbs Brendon B Mugisha James J Firth Joseph J Van Damme Tine T Smith Lee L Koyanagi Ai A

Study Outcome 

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Statistics
Citations : 
Authors :  7
Identifiers
Doi : 10.1016/j.jad.2019.03.053
SSN : 1573-2517
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Adolescents;Mental health;Physical activity;Sedentary;Sitting;Suicide
Study Design
Longitudinal Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
Netherlands