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A new study conducted by researchers at The University of Texas at Arlington (UTA) has revealed alarming insights into adolescent mental health, emphasizing the powerful influence of body image perception on suicidal ideation. According to the research, adolescents who perceive themselves as overweight are three times more likely to consider self-harm than their peers who do not, regardless of their actual weight status.
“What we found was that the perception of being overweight has a much stronger effect on suicidal ideation than the objective measure of weight,” said Philip Baiden, an associate professor of social work at UTA and the study’s lead author.
Dr. Baiden collaborated with fellow UTA social work Associate Professor Catherine LaBrenz and researchers from UT Dallas, Texas Woman’s University, Florida International University, New York University, Simmons University, and the University of Ghana. Their findings have been published in the journal Psychiatry Research.
A Comprehensive Analysis
The study analyzed data from over 39,000 adolescents aged 14 to 18, obtained from the Centers for Disease Control and Prevention’s Youth Risk Behavior Survey. By examining information from 2015 to 2021, the research team evaluated how various factors—including socioeconomic status, family dynamics, academic pressures, and adverse childhood experiences—contributed to the link between body image perception and mental health struggles.
The research combined self-reported data from adolescents with information from caregivers and school records to ensure a broad and accurate assessment.
“Even after adjusting for established suicidal ideation risk factors such as feelings of hopelessness, bullying, cyberbullying, substance use, and demographic variables, we still found a connection between how adolescents feel about their weight and whether they are considering self-harm,” said Dr. LaBrenz, a co-author of the study. “We also found that females were more at risk than males in perceiving themselves to be overweight.”
A Call for Change
Dr. Baiden pointed out that the findings call into question the accuracy and reliance on Body Mass Index (BMI) as a diagnostic tool for determining overweight or obesity. This research supports growing concerns in the medical and mental health fields about the psychological and emotional impacts of weight classification systems.
The study underscores the essential role that schools, families, and communities play in fostering healthy self-perception among teenagers. Schools, in particular, can implement mental health resources and promote inclusive environments to help mitigate negative self-perceptions.
“By investing in preventive measures and early-intervention programs,” Baiden added, “it is possible to reduce the long-term burden on the health care system and improve the quality of life for young people.”
Conclusion
This study serves as a critical reminder of the importance of mental health awareness and intervention in adolescence. As body image concerns continue to impact youth, addressing these issues through supportive environments and mental health resources becomes increasingly vital.
More information: Philip Baiden et al, Effects of Objective and Perceived Weight on Suicidal Ideation Among Adolescents: Findings from the 2015–2021 National Youth Risk Behavior Survey, Psychiatry Research (2025). DOI: 10.1016/j.psychres.2025.116380
Disclaimer
This article is for informational purposes only and does not constitute medical or psychological advice. If you or someone you know is struggling with suicidal thoughts or mental health issues, please seek professional help immediately.
