{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T06:36:28Z","timestamp":1764138988399,"version":"3.46.0"},"reference-count":44,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Health Serv."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Suicidal ideation represents a significant public health concern, serving as a crucial predictor of suicide attempts. While biological and psychological risk factors have been thoroughly delineated, the role of daily behaviors such as nutrition, oral health, physical activity, and psychological traits remains to be elucidated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examined behavioral and psychological differences between Spanish adult's participants with suicidal ideation and a comparison group within a community sample. In Spain, the legal definition of \u201cadult\u201d is primarily determined by the age of majority, which is set at 18 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 1,364 adults from Spain, completed an online survey assessing sociodemographic, anthropometric, nutritional, oral health, physical activity, and psychological variables. Group assignment was based on the Zung Self-Rating Depression Scale, with 20 individuals endorsing suicidal ideation and 1,344 serving as controls. Independent\n                      <jats:italic>t<\/jats:italic>\n                      -tests compared groups with a significance level of\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with controls, the suicidal ideation group was younger, had lower weight and BMI, reported shorter sleep duration, poorer sleep quality, and more time on social media. They also reported lower water intake and vitality but higher consumption of pastries, protein shakes, and vitamin supplements, along with more frequent migraines and poorer digestion. Oral health findings were counterintuitive, with lower prevalence of gastritis, dry mouth, and dental sensitivity. No significant differences emerged in physical activity. Psychologically, the suicidal ideation group reported greater depression, stress, anxiety, loneliness, and psychological inflexibility, as well as higher neuroticism and openness, and lower extraversion and agreeableness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Due to the preliminary nature of the study, these findings suggest the presence of distinct behavioral and psychological profiles associated with suicidal ideation. In light of the limited sample size, the single-item classification, and the cross-sectional self-report design, the findings must be regarded as preliminary associations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/frhs.2025.1630077","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T06:33:33Z","timestamp":1764138813000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Preliminary behavioral differences between Spanish adults with suicidal ideation and control population"],"prefix":"10.3389","volume":"5","author":[{"given":"Mar\u00eda","family":"Carreira M\u00edguez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Isabel","family":"Beltr\u00e1n-Velasco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Navarro Jim\u00e9nez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicente Javier","family":"Clemente-Su\u00e1rez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,11,26]]},"reference":[{"key":"B1","volume-title":"Suicide in the World: Global Health Estimates","year":"2019"},{"key":"B2","article-title":"Defunciones por causa de muerte en Espa\u00f1a. Gobierno de Espa\u00f1a","year":""},{"key":"B3","doi-asserted-by":"publisher","first-page":"1227","DOI":"10.1016\/S0140-6736(15)00234-2","article-title":"Suicide and suicidal behaviour","volume":"387","author":"Turecki","year":"2016","journal-title":"Lancet"},{"key":"B4","first-page":"57","article-title":"Suicide risk in patients with major depressive disorder","volume":"60","author":"Angst","year":"1999","journal-title":"J Clin Psychiatry"},{"key":"B5","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1016\/j.amepre.2004.06.001","article-title":"Adolescent depression and suicide risk: association with sex and drug behavior","volume":"27","author":"Hallfors","year":"2004","journal-title":"Am J Prev Med"},{"key":"B6","volume-title":"Why People Die by Suicide","author":"Joiner","year":"2005"},{"key":"B7","article-title":"Suicide mortality in Spain (2010\u20132022): temporal trends, spatial patterns, and risk factors","author":"Adin","year":""},{"key":"B8","doi-asserted-by":"publisher","first-page":"1155171","DOI":"10.3389\/fpsyt.2023.1155171","article-title":"Non-lethal suicidal behavior in university students of Spain during COVID-19","volume":"14","author":"Ramos-Mart\u00edn","year":"2023","journal-title":"Front Psychiatry"},{"key":"B9","doi-asserted-by":"publisher","first-page":"2340","DOI":"10.3390\/ijerph20032340","article-title":"Predictive factors of suicidal ideation in Spanish university students: a health, preventive, social, and cultural approach","volume":"20","author":"L\u00e1zaro-P\u00e9rez","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"B10","doi-asserted-by":"publisher","first-page":"e70457","DOI":"10.1002\/brb3.70457","article-title":"Suicidal behavior in university students in Spain","volume":"15","author":"Soto-Sanz","year":"2025","journal-title":"Brain Behav"},{"key":"B11","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1176\/appi.ajp.2018.17111194","article-title":"Physical activity and incident depression: a meta-analysis of prospective cohort studies","volume":"175","author":"Schuch","year":"2018","journal-title":"Am J Psychiatry"},{"key":"B12","doi-asserted-by":"publisher","first-page":"5518","DOI":"10.3390\/ijerph17155518","article-title":"Lifestyle factors and mental health among school-going adolescents in five southeast Asian countries","volume":"17","author":"Pengpid","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"B13","doi-asserted-by":"publisher","first-page":"e282","DOI":"10.1093\/pubmed\/fdv148","article-title":"Substance use disorder and risk of suicidal ideation, suicide attempt and suicide death: a meta-analysis","volume":"38","author":"Poorolajal","year":"2016","journal-title":"J Public Health"},{"key":"B14","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1016\/j.jadohealth.2017.11.289","article-title":"The association between unhealthy lifestyle behaviors and suicidal ideation among Korean adolescents","volume":"62","author":"Kim","year":"2018","journal-title":"J Adolesc Health"},{"key":"B15","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1016\/j.pmedr.2018.12.001","article-title":"Associations between screen time and lower psychological well-being among children and adolescents: evidence from a population-based study","volume":"12","author":"Twenge","year":"2019","journal-title":"Prev Med Rep"},{"key":"B16","doi-asserted-by":"publisher","first-page":"859","DOI":"10.1016\/S0140-6736(07)61238-0","article-title":"No health without mental health","volume":"370","author":"Prince","year":"2007","journal-title":"Lancet"},{"key":"B17","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1016\/j.amepre.2013.08.001","article-title":"Physical activity and the prevention of depression: a systematic review of prospective studies","volume":"45","author":"Mammen","year":"2013","journal-title":"Am J Prev Med"},{"key":"B18","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/j.psychres.2017.04.020","article-title":"Dietary patterns and depression risk: a meta-analysis","volume":"253","author":"Li","year":"2017","journal-title":"Psychiatry Res"},{"key":"B19","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1177\/070674371205700205","article-title":"Nutrient intakes are correlated with overall psychiatric functioning in adults with mood disorders","volume":"57","author":"Davison","year":"2012","journal-title":"Can J Psychiatry"},{"key":"B20","article-title":"Stress. World Health Organization","year":""},{"key":"B21","doi-asserted-by":"publisher","first-page":"912","DOI":"10.1016\/S0140-6736(20)30460-8","article-title":"The psychological impact of quarantine and how to reduce it: rapid review of the evidence","volume":"395","author":"Brooks","year":"2020","journal-title":"Lancet"},{"key":"B22","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1016\/S2215-0366(20)30168-1","article-title":"Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science","volume":"7","author":"Holmes","year":"2020","journal-title":"Lancet Psychiatry"},{"key":"B23","doi-asserted-by":"publisher","first-page":"113117","DOI":"10.1016\/j.psychres.2020.113117","article-title":"Loneliness: a signature mental health concern in the era of COVID-19","volume":"290","author":"Killgore","year":"2020","journal-title":"Psychiatry Res"},{"key":"B24","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1001\/archpsyc.1965.01720310065008","article-title":"A self-rating depression scale","volume":"12","author":"Zung","year":"1965","journal-title":"Arch Gen Psychiatry"},{"key":"B25","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1016\/j.jrp.2006.02.001","article-title":"Measuring personality in one minute or less: a 10-item short version of the big five inventory in English and German","volume":"41","author":"Rammstedt","year":"2007","journal-title":"J Res Pers"},{"key":"B26","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1111\/j.2044-8260.1992.tb00997.x","article-title":"The development of a six-item short-form of the state scale of the spielberger state-trait anxiety inventory (STAI)","volume":"31","author":"Marteau","year":"1992","journal-title":"Br J Clin Psychol"},{"key":"B27","doi-asserted-by":"publisher","first-page":"123","DOI":"10.7334\/psicothema2011.239","article-title":"Measuring experiential avoidance and psychological inflexibility: the Spanish version of the acceptance and action questionnaire - II","volume":"25","author":"Ruiz","year":"2013","journal-title":"Psicothema"},{"key":"B28","doi-asserted-by":"publisher","first-page":"655","DOI":"10.1177\/0164027504268574","article-title":"A short scale for measuring loneliness in large surveys: results from two population-based studies","volume":"26","author":"Hughes","year":"2004","journal-title":"Res Aging"},{"key":"B29","doi-asserted-by":"publisher","first-page":"385","DOI":"10.2307\/2136404","article-title":"A global measure of perceived stress","volume":"24","author":"Cohen","year":"1983","journal-title":"J Health Soc Behav"},{"key":"B30","doi-asserted-by":"publisher","first-page":"3908","DOI":"10.3390\/ijerph18083908","article-title":"Gender differences in the COVID-19 pandemic risk perception, psychology, and behaviors of Spanish university students","volume":"18","author":"Rodriguez-Besteiro","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"B31","doi-asserted-by":"publisher","first-page":"1072","DOI":"10.3390\/children9071072","article-title":"Infancy dietary patterns, development, and health: an extensive narrative review","volume":"9","author":"Mart\u00edn-Rodr\u00edguez","year":"2022","journal-title":"Children"},{"key":"B32","doi-asserted-by":"publisher","first-page":"920","DOI":"10.3109\/00365529709011203","article-title":"Stool form scale as a useful guide to intestinal transit time","volume":"32","author":"Lewis","year":"1997","journal-title":"Scand J Gastroenterol"},{"key":"B33","doi-asserted-by":"publisher","first-page":"113841","DOI":"10.1016\/j.physbeh.2022.113841","article-title":"Behavioural, odontological and physical activity patterns of hypertense and control population","volume":"252","author":"Carreira-M\u00edguez","year":"2022","journal-title":"Physiol Behav"},{"key":"B34","doi-asserted-by":"publisher","first-page":"975","DOI":"10.1002\/da.22949","article-title":"Sleep, circadian rhythm, and physical activity patterns in depressive and anxiety disorders: a 2-week ambulatory assessment study","volume":"36","author":"Difrancesco","year":"2019","journal-title":"Depress Anxiety"},{"key":"B35","first-page":"306","article-title":"Prevention of suicide and attempted suicide in Denmark. Epidemiological studies of suicide and intervention studies in selected risk groups","volume":"54","author":"Nordentoft","year":"2007","journal-title":"Dan Med Bull"},{"key":"B36","doi-asserted-by":"publisher","first-page":"e101213","DOI":"10.1371\/journal.pone.0101213","article-title":"Body mass index in young adulthood and suicidal behavior up to age 59 in a cohort of Swedish men","volume":"9","author":"S\u00f6rberg","year":"2014","journal-title":"PLoS One"},{"key":"B37","first-page":"578","article-title":"Systematic review of studies measuring social media use and depression, anxiety, and psychological distress in adolescents: 2018-2020","volume":"123","author":"Alfredson","year":"2024","journal-title":"WMJ"},{"key":"B38","doi-asserted-by":"publisher","first-page":"88","DOI":"10.5498\/wjp.v8.i3.88","article-title":"Drinking plain water is associated with decreased risk of depression and anxiety in adults: results from a large cross-sectional study","volume":"8","author":"Haghighatdoost","year":"2018","journal-title":"World J Psychiatry"},{"key":"B39","doi-asserted-by":"publisher","first-page":"e2022033","DOI":"10.4178\/epih.e2022033","article-title":"Association between dietary and suicidal behaviors in adolescents in Korea based on the youth risk behavior survey (2015- 2020)","volume":"44","author":"Lee","year":"2022","journal-title":"Epidemiol Health"},{"key":"B40","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1016\/j.jad.2016.04.040","article-title":"The oral health of people with anxiety and depressive disorders - a systematic review and meta-analysis","volume":"200","author":"Kisely","year":"2016","journal-title":"J Affect Disord"},{"key":"B41","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1016\/j.jad.2017.08.070","article-title":"Physical activity and suicidal ideation: a systematic review and meta-analysis","volume":"225","author":"Vancampfort","year":"2018","journal-title":"J Affect Disord"},{"key":"B42","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1186\/s12888-025-06552-6","article-title":"Protective factors for suicidal ideation and suicide attempts in adolescence: a longitudinal population-based cohort study examining sex differences","volume":"25","author":"Bakken","year":"2025","journal-title":"BMC Psychiatry"},{"key":"B43","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1016\/j.jad.2023.11.002","article-title":"Are big five personality traits associated to suicidal behaviour in adolescents? A systematic review and meta- analysis","volume":"347","author":"Mota","year":"2024","journal-title":"J Affect Disord"},{"key":"B44","doi-asserted-by":"publisher","first-page":"e76646","DOI":"10.1371\/journal.pone.0076646","article-title":"Personality factors and suicide risk in a representative sample of the German general population","volume":"8","author":"Bl\u00fcml","year":"2013","journal-title":"PLoS One"}],"container-title":["Frontiers in Health Services"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frhs.2025.1630077\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T06:33:34Z","timestamp":1764138814000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frhs.2025.1630077\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,26]]},"references-count":44,"alternative-id":["10.3389\/frhs.2025.1630077"],"URL":"https:\/\/doi.org\/10.3389\/frhs.2025.1630077","relation":{},"ISSN":["2813-0146"],"issn-type":[{"value":"2813-0146","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,26]]},"article-number":"1630077"}}