A newly identified group of adolescents at "invisible" risk for psychopathology and suicidal behavior: findings from the SEYLE study.
This study explored the prevalence of risk behaviors (excessive alcohol use, illegal drug use, heavy smoking, reduced sleep, overweight, underweight, sedentary behavior, high use of Internet/TV/videogames for reasons not related to school or work, and truancy), and their association with psychopathology and self-destructive behaviors, in a sample of 12,395 adolescents recruited in randomly selected schools across 11 European countries. Latent class analysis identified three groups of adolescents: a low-risk group (57.8%) including pupils with low or very low frequency of risk behaviors; a high-risk group (13.2%) including pupils who scored high on all risk behaviors, and a third group ("invisible" risk, 29%) including pupils who were positive for high use of Internet/TV/videogames for reasons not related to school or work, sedentary behavior and reduced sleep. Pupils in the "invisible" risk group, compared with the high-risk group, had a similar prevalence of suicidal thoughts (42.2% vs. 44%), anxiety (8% vs. 9.2%), subthreshold depression (33.2% vs. 34%) and depression (13.4% vs. 14.7%). The prevalence of suicide attempts was 5.9% in the "invisible" group, 10.1% in the high-risk group and 1.7% in the low-risk group. The prevalence of all risk behaviors increased with age and most of them were significantly more frequent among boys. Girls were significantly more likely to experience internalizing (emotional) psychiatric symptoms. The "invisible" group may represent an important new intervention target group for potentially reducing psychopathology and other untoward outcomes in adolescence, including suicidal behavior.
National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institutet, Stockholm, Sweden.
Vladimir
V
Carli
Christina W
CW
Hoven
Camilla
C
Wasserman
Flaminia
F
Chiesa
Guia
G
Guffanti
Marco
M
Sarchiapone
Alan
A
Apter
Judit
J
Balazs
Romuald
R
Brunner
Paul
P
Corcoran
Doina
D
Cosman
Christian
C
Haring
Miriam
M
Iosue
Michael
M
Kaess
Jean Pierre
JP
Kahn
Helen
H
Keeley
Vita
V
Postuvan
Pilar
P
Saiz
Airi
A
Varnik
Danuta
D
Wasserman
Risk behaviors; SEYLE; adolescents; media consumption; psychiatric symptoms; reduced sleep; sedentary behavior; suicidal behavior