Is meeting with the 24-h movement recommendations linked with suicidality? Results from a nationwide sample of 44,734 US adolescents

Background: To our knowledge, only few studies have analyzed the relationship between meeting the 24-h movement guidelines and suicidality in adolescents. The aim of this study was twofold: first, to examine the association between meeting the 24-h movement recommendations and suicidal ideation, sui...

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Authors: López Gil, José Francisco; Firth, Joseph; García Hermoso, Antonio
Format: Article
Status:Published version
Publication date:2024
Country:España
Institution:Universidad Pública de Navarra
Repository:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
OAI Identifier:oai:academica-e.unavarra.es:2454/51649
Online Access:https://hdl.handle.net/2454/51649
Access Level:Open access
Keyword:Physical activity
Screen time
Sleep duration
Suicidal ideation
Suicide planning
Attempted suicide
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author López Gil, José Francisco
author2 Firth, Joseph
García Hermoso, Antonio
author2_role author
author
author_browse Firth, Joseph
García Hermoso, Antonio
López Gil, José Francisco
author_facet López Gil, José Francisco
Firth, Joseph
García Hermoso, Antonio
author_role author
collection Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
description Background: To our knowledge, only few studies have analyzed the relationship between meeting the 24-h movement guidelines and suicidality in adolescents. The aim of this study was twofold: first, to examine the association between meeting the 24-h movement recommendations and suicidal ideation, suicide planning, and attempted suicide in a representative sample of adolescents from the U.S.; and second, to test whether age group, sex, or race moderate these associations. Method: This is a cross-sectional study including pooled data from the 2011, 2013, 2015, 2017, 2019, and 2021 high school Youth Risk Behavior Surveys (YRBS). A total sample of 44,734 participants (48.5 % females) was included. The recommendations of the 24-h movement guidelines included physical activity, screen time, and sleep duration. Suicidality was examined considering three suicide-related behaviors: suicidal ideation (yes/no), suicide planning (yes/no), and attempted suicide (at least one time or more during the past 12 months). Results: Adolescents who met all three recommendations showed a lower likelihood of suicidal ideation (odds ratio [OR] = 0.49, 95 % confidence interval [CI] 0.37 to 0.64, p < 0.001), suicide planning (OR = 0.51, 95 % CI 0.37 to 0.68, p < 0.001), and attempted suicide (OR = 0.66, 95 % CI 0.44 to 0.96, p = 0.038) than those who did not meet all the recommendations. Overall, when younger adolescents, female adolescents, and adolescents of minority races met the 24-h movement recommendations, they had lower odds of suicide-related outcomes than when they did not. Limitations: This is a cross-sectional study using self-reported data. It is not possible to establish cause-and-effect relationships, and the results could be influenced by some biases. Conclusion: This study suggests that meeting the 24-h movement recommendations could play a relevant role in the prevention of suicidal ideation, planning suicide, and attempted suicide in a nationwide sample from the U.S. adolescents.
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oai_identifier_str oai:academica-e.unavarra.es:2454/51649
publishDate 2024
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publisher Elsevier
publisherStr Elsevier
reponame_str Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
spelling Is meeting with the 24-h movement recommendations linked with suicidality? Results from a nationwide sample of 44,734 US adolescents López Gil, José Francisco Firth, Joseph García Hermoso, Antonio Physical activity Screen time Sleep duration Suicidal ideation Suicide planning Attempted suicide Background: To our knowledge, only few studies have analyzed the relationship between meeting the 24-h movement guidelines and suicidality in adolescents. The aim of this study was twofold: first, to examine the association between meeting the 24-h movement recommendations and suicidal ideation, suicide planning, and attempted suicide in a representative sample of adolescents from the U.S.; and second, to test whether age group, sex, or race moderate these associations. Method: This is a cross-sectional study including pooled data from the 2011, 2013, 2015, 2017, 2019, and 2021 high school Youth Risk Behavior Surveys (YRBS). A total sample of 44,734 participants (48.5 % females) was included. The recommendations of the 24-h movement guidelines included physical activity, screen time, and sleep duration. Suicidality was examined considering three suicide-related behaviors: suicidal ideation (yes/no), suicide planning (yes/no), and attempted suicide (at least one time or more during the past 12 months). Results: Adolescents who met all three recommendations showed a lower likelihood of suicidal ideation (odds ratio [OR] = 0.49, 95 % confidence interval [CI] 0.37 to 0.64, p < 0.001), suicide planning (OR = 0.51, 95 % CI 0.37 to 0.68, p < 0.001), and attempted suicide (OR = 0.66, 95 % CI 0.44 to 0.96, p = 0.038) than those who did not meet all the recommendations. Overall, when younger adolescents, female adolescents, and adolescents of minority races met the 24-h movement recommendations, they had lower odds of suicide-related outcomes than when they did not. Limitations: This is a cross-sectional study using self-reported data. It is not possible to establish cause-and-effect relationships, and the results could be influenced by some biases. Conclusion: This study suggests that meeting the 24-h movement recommendations could play a relevant role in the prevention of suicidal ideation, planning suicide, and attempted suicide in a nationwide sample from the U.S. adolescents. Elsevier https://hdl.handle.net/2454/51649
spellingShingle Is meeting with the 24-h movement recommendations linked with suicidality? Results from a nationwide sample of 44,734 US adolescents
López Gil, José Francisco
Physical activity
Screen time
Sleep duration
Suicidal ideation
Suicide planning
Attempted suicide
status_str publishedVersion
title Is meeting with the 24-h movement recommendations linked with suicidality? Results from a nationwide sample of 44,734 US adolescents
title_full Is meeting with the 24-h movement recommendations linked with suicidality? Results from a nationwide sample of 44,734 US adolescents
title_fullStr Is meeting with the 24-h movement recommendations linked with suicidality? Results from a nationwide sample of 44,734 US adolescents
title_full_unstemmed Is meeting with the 24-h movement recommendations linked with suicidality? Results from a nationwide sample of 44,734 US adolescents
title_short Is meeting with the 24-h movement recommendations linked with suicidality? Results from a nationwide sample of 44,734 US adolescents
title_sort Is meeting with the 24-h movement recommendations linked with suicidality? Results from a nationwide sample of 44,734 US adolescents
topic Physical activity
Screen time
Sleep duration
Suicidal ideation
Suicide planning
Attempted suicide
topic_facet Physical activity
Screen time
Sleep duration
Suicidal ideation
Suicide planning
Attempted suicide
url https://hdl.handle.net/2454/51649