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Original Articles
Association between dietary and suicidal behaviors in adolescents in Korea based on the Youth Risk Behavior Survey (2015-2020)
Youngrong Lee, Ye Jin Jeon, Jee-Seon Shim, Sun Jae Jung
Epidemiol Health. 2022;44:e2022033.   Published online March 12, 2022
DOI: https://doi.org/10.4178/epih.e2022033
  • 5,691 View
  • 355 Download
  • 1 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
This study explored the association between dietary and suicidal behaviors of Korean adolescents and investigated differences in this association in children of immigrant parents.
METHODS
The sample (n=368,138) was collected from the Korea Youth Risk Behavior Survey from 2015 to 2020. Participants who agreed to provide family information (n=313,689) were classified according to their parents’ nationality. The study variables were 11 self-reported dietary behaviors, and their composite dietary behaviors (i.e., nutrient deprivation and unhealthy food consumption) that resulted from principal component analysis. The association between study variables and suicide-related outcomes (i.e., suicidal ideation, suicide planning, and suicide attempts) was analyzed by multiple logistic regression with adjustment for covariates. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were calculated.
RESULTS
Participants who skipped key meals and foods were more likely to have attemped suicide (aOR [95% CI]: skipping breakfast ≥5 days/wk, 1.28 [1.21 to 1.35]; consuming fruits <1 times/wk: 1.42 [1.32 to 1.52]; consuming vegetables <1 times/wk: 1.72 [1.53 to 1.93]; consuming milk <3 times/wk: 1.07 [0.99 to 1.16]). The associations were prominent in third culture kids (TCKs) (aOR [95% CI]: 2.23 [1.61 to 3.09]; 2.32 [1.61 to 3.35]; 2.63 [1.50 to 4.60]; 1.69 [1.09 to 2.63], respectively). Participants who consumed unhealthy foods (fast food, caffeinated and sugary drinks) more frequently were more likely to have attempted suicide (aOR, 1.55; 95% CI, 1.38 to 1.73). This association was also more prominent in TCKs (aOR, 2.08; 95% CI, 1.08 to 4.01).
CONCLUSIONS
Our findings indicate a positive association between unfavorable dietary behaviors and outcomes related to suicide, and this association appears to be notable in adolescents with immigrant parents.
Summary
Korean summary
• 한국 청소년의 식이 행동과 자살 행동 사이의 연관성과 한국인 부모와 이민자 부모 자녀에서 위의 연관성 차이를 조사하였다. • 청소년의 결식 빈도 증가, 과일, 야채, 우유 섭취 감소는 자살 행동과 유의한 연관성이 있었으며 이민자 부모를 둔 청소년에서 연관성의 크기가 더 컸다. • 패스트푸드, 카페인, 가당 음료, 인스턴트 음식을 더 자주 섭취하는 청소년은 자살을 시도할 가능성이 더 높았으며 이민자 부모를 둔 청소년에서 더 큰 연관성을 보였다.
Key Message
The study found positive associations between undesirable dietary behaviors (e.g., skipping breakfast, increased consumption of fast food or instant food product) and outcomes related to suicide (i.e., suicide ideation, planning, and attempt) in Korean adolescents, and these associations appear to be prominent in adolescents with immigrant parents than those with Korean parents.

Citations

Citations to this article as recorded by  
  • Trends in health behaviors and mental health among Korean adolescents in Korea over 5 years, 2017–2021: focusing on the comparisons before and during the COVID-19 pandemic
    Mi-Sun Lee, Dong Jun Kim, Hooyeon Lee
    Frontiers in Public Health.2023;[Epub]     CrossRef
Association of participation in the Northern Finland Birth Cohort 1986 with mental disorders and suicidal behaviour
Martta Kerkelä, Mika Gissler, Juha Veijola
Epidemiol Health. 2022;44:e2022005.   Published online January 3, 2022
DOI: https://doi.org/10.4178/epih.e2022005
  • 6,934 View
  • 410 Download
  • 2 Citations
AbstractAbstract PDFSupplementary Material
Abstract
OBJECTIVES
In prospective follow-up studies, participants are normally contacted during the follow-up period. Even though the idea is not to intervene, the studies conducted during follow-up may affect the target population. Our hypotheses were that participation in the prospective Northern Finland Birth Cohort 1986 study (NFBC 1986) increased the use of mental health services and reduced suicidal behaviour due to participation in follow-up studies.
METHODS
The NFBC 1986 study covered people with an expected date of birth between July 1985 and June 1986 in northern Finland (n=9,396). The participants of the NFBC 1986 were followed since the antenatal period with follow-ups including clinical examinations. The comparison cohort comprised people born in the same area in 1987 (n=8,959), who were not contacted. Registry data on psychiatric treatment, suicide attempts, and suicides were available. Crude risk ratios (RRs) and adjusted (for marital status and education) Mantel-Haenszel RRs were reported.
RESULTS
No increase in mental disorders were found in NFBC 1986 compared to comparison cohort. In the crude RR analysis of female participants, a lower risk for suicide attempts was found (RR, 0.67; 95% confidence interval, 0.49 to 0.92; p=0.011).
CONCLUSIONS
The results did not support our first hypothesis regarding the increased use of mental health services in the NFBC 1986 cohort. However, our second hypothesis gained some support as female participants of the NFBC 1986 had a lower risk of suicide attempts, although it was not due to a higher number of participants receiving psychiatric treatment.
Summary
Korean summary
Key Message
Female members of the longitudinal Northern Finland Birth Cohort 1986 study did have less psychiatric diagnosis in several diagnosis classes than comparison cohort, which may indicate that different follow-up studies conducted in the prospective birth cohort studies may affect to the study population.

Citations

Citations to this article as recorded by  
  • Association between participation in the Northern Finland Birth Cohort 1966 study and use of psychiatric care services
    Martta Kerkelä, Mika Gissler, Tanja Nordström, Juha Veijola, Silva Ibrahimi
    PLOS ONE.2023; 18(3): e0282714.     CrossRef
  • Association between participation in the Northern Finland Birth Cohorts and cardiometabolic disorders
    Martta Kerkelä, Mika Gissler, Tanja Nordström, Olavi Ukkola, Juha Veijola
    Annals of Medicine.2023; 55(1): 1123.     CrossRef
COVID-19: Systematic Review
A closer look at the high burden of psychiatric disorders among healthcare workers in Egypt during the COVID-19 pandemic
Amr Ehab El-Qushayri, Abdullah Dahy, Abdullah Reda, Mariam Abdelmageed Mahmoud, Sarah Abdel Mageed, Ahmed Mostafa Ahmed Kamel, Sherief Ghozy
Epidemiol Health. 2021;43:e2021045.   Published online July 13, 2021
DOI: https://doi.org/10.4178/epih.e2021045
  • 7,346 View
  • 239 Download
  • 4 Citations
AbstractAbstract PDFSupplementary Material
Abstract
OBJECTIVES
This study aimed to examine the prevalence of psychiatric disorders among Egyptian healthcare workers (HCWs) during the coronavirus disease 2019 (COVID-19) pandemic.
METHODS
Six databases were searched for relevant papers. The quality of the selected articles was measured using the National Institute of Health quality assessment tool. We used a fixed-effects model when there was no heterogeneity and a random-effects model when there was heterogeneity.
RESULTS
After screening 197 records, 10 studies were ultimately included. Anxiety was the most commonly reported psychiatric disorder among HCWs, with a prevalence of 71.8% (95% confidence interval [CI], 49.4 to 86.9), followed by stress (66.6%; 95% CI, 47.6 to 81.3), depression (65.5%; 95% CI, 46.9 to 80.3), and insomnia (57.9%; 95% CI, 45.9 to 69.0). As measured using the 21-item Depression, Anxiety, and Stress Scale, the most common level of severity was moderate for depression (22.5%; 95% CI, 19.8 to 25.5) and stress (14.5%; 95% CI, 8.8 to 22.9), while high-severity anxiety was more common than other levels of severity (28.2%; 95% CI, 3.8 to 79.6).
CONCLUSIONS
The COVID-19 pandemic has had a negative effect on Egyptian HCWs’ psychological well-being. More psychological support and preventive measures should be implemented to prevent the further development of psychiatric illness among physicians and other HCWs.
Summary
Korean summary
Key Message
The COVID-19 pandemic has had a negative effect on Egyptian HCWs’ psychological well-being with a high burden of anxiety, stress, depression and insomnia. More psychological support and preventive measures should be implemented to prevent the further development of psychiatric illness among physicians and other HCWs.

Citations

Citations to this article as recorded by  
  • Anxiety and stress among healthcare professionals during COVID-19 in Ethiopia: systematic review and meta-analysis
    Aragaw Asfaw Hasen, Abubeker Alebachew Seid, Ahmed Adem Mohammed
    BMJ Open.2023; 13(2): e070367.     CrossRef
  • COVID‐19 outcomes in paediatric cancer: A large scale pooled meta‐analysis of 984 cancer patients
    Amr Ehab El‐Qushayri, Amira Yasmine Benmelouka, Abdullah Dahy, Mohammad Rashidul Hashan
    Reviews in Medical Virology.2022;[Epub]     CrossRef
  • Mental health symptoms during the COVID-19 pandemic in developing countries: A systematic review and meta-analysis
    Jiyao Chen, Stephen X Zhang, Allen Yin, Jaime A Yáñez
    Journal of Global Health.2022;[Epub]     CrossRef
  • Scientific evidence on mental health in key regions under the COVID-19 pandemic – meta-analytical evidence from Africa, Asia, China, Eastern Europe, Latin America, South Asia, Southeast Asia, and Spain
    Stephen X. Zhang, Jiyao Chen
    European Journal of Psychotraumatology.2021;[Epub]     CrossRef
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