Abstract
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Abstract Background 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. Methods 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. Results 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 8 h/day). Compared to those engaging in 8 h/day being 1.45 (95% confidence interval=1.19–1.77). Limitations The study is cross-sectional, therefore the directionality of the relationships cannot be deduced. Conclusions 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.
Subjects
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Adolescents • Mental health • Physical activity • Sedentary • Sitting • Suicide • Adolescent • Adolescent Behavior/psychology • Child • Cross-Sectional Studies • Female • Health Surveys • Humans • Leisure Activities/psychology • Logistic Models • Male • Odds Ratio • Prevalence • Sedentary Behavior • Students • Suicide, Attempted/psychology • Surveys and Questionnaires • Mental health • Demography • Psychology • Human factors and ergonomics • Occupational safety and health • Injury prevention • Global mental health • Suicide attempt • Poison control • Suicide prevention