according to researchers Teenagers who are overweight are at higher risk of attempting suicide. Even teens who merely believe themselves overweight
but actually are not are more predisposed to suicidal behavior, the researchers found.
The study, which appears online in the Journal of Adolescent Health, looked at more than 14,000 high school students to determine the relationship between a high body mass index (BMI) and suicide attempts, as well as the relationship between perceived overweight and suicide attempts, and found higher risk in both cases.
Contrary to what the researchers had originally expected, the association was as strong for boys as for girls, said lead study author Monica Swahn, PhD.
"This is a major concern since more and more children and youth are becoming overweight and obese," said Swahn, associate professor in the Institute of Public Health at Georgia State University.
"The mental health issues and distress that some youth who are overweight may experience ... appears to be a growing, but largely unaddressed, issue," Swahn told Daily News Central. "We tend to overlook the need for mental healthcare and prevention and underestimate the scope and range of services needed."
Reality vs. Perception
For the study, participants answered a survey question:"How do you describe your weight?" They could choose among five responses: very underweight, slightly underweight, about the right weight, slightly overweight or very overweight, Swahn said. "In our analyses, we looked at those who said they were either slightly or very overweight to determine their potential increased risk for suicide attempts. Our study shows that those who felt that they were overweight were about 40 percent more likely to also report suicide attempt."
Societal Pressures
"Youth feel very pressured to fit in and to fit certain limited ideals of beauty," she added.
"Unfortunately, as a society, we are very focused on beauty and in particular weight," she noted. "Weight gain and weight loss are pervasive issues that many of us struggle with. So, of course, these issues are linked to our well-being and our mental health. The sad aspect of our findings is that it is not only those who actually are overweight that are at increased risk for suicide attempt, but also that those who perceive themselves as overweight, even if they're not actually overweight, are at increased risk for suicide attempts. This finding appears to reflect the very strong influence of social constructs related to body image and body ideals. It is also important to point out that in our study, the link between perceived overweight and suicide attempts was important for both boys and girls."
Signs of Depression
Swahn pointed to several common symptoms of depression that parents and caretakers can look for:
persistent sad or irritable mood
loss of interest in activities once enjoyed
psychomotor agitation or retardation
feelings of worthlessness or inappropriate guilt
recurrent thoughts of death or suicide
difficulty concentrating
difficulty sleeping or oversleeping
loss of energy
significant change in appetite or body weight.
External Influences
"However, it is important to recognize the many external influences that manipulate our eating," she continued. "I just read Dr. [David] Kessler's new book, The End of Overeating, which is a fascinating account of how the food industry, together with the advertising industry, have made it nearly impossible for some people to control their food intake. Food has been manipulated, packaged and sold in a way to increase the proportions of sugar, salt and fat, which lead most of us wanting more and on a downward spiral to weight gain. Given this heavy influence, particularly among our children who are growing up with all these messages, it is clear that we need to serve as advocates for our children as well.
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